Computed Tomography Perfusion Usefulness in Early Imaging Diagnosis of Herpes Simplex Virus Encephalitis

An early diagnosis is crucial in herpes simplex virus encephalitis patients in order to institute acyclovir therapy and reduce mortality rates. Magnetic resonance imaging (MRI) is considered the gold standard for evaluation of these patients, but is frequently not available in the emergency setting....

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Bibliographic Details
Published in:Acta radiologica (1987) 2006-10, Vol.47 (8), p.878-881
Main Authors: de Lucas, E. Marco, Mandly, González A., Gutiérrez, A., Sánchez, E., Arnáiz, J., Piedra, T., Rodríguez, E., Díez, C.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Encephalitis, Herpes Simplex - diagnostic imaging
Herpes simplex virus
Human viral diseases
Humans
Infectious diseases
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Parietal Lobe - blood supply
Temporal Lobe - blood supply
Tomography, X-Ray Computed
Viral diseases
Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye
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Summary:An early diagnosis is crucial in herpes simplex virus encephalitis patients in order to institute acyclovir therapy and reduce mortality rates. Magnetic resonance imaging (MRI) is considered the gold standard for evaluation of these patients, but is frequently not available in the emergency setting. We report the first case of a computed tomography (CT) perfusion study that helped to establish a prompt diagnosis revealing abnormal increase of blood flow in the affected temporoparietal cortex at an early stage.
ISSN:0284-1851
1600-0455
DOI:10.1080/02841850600810599