Computed tomography in herpes simplex encephalitis

Nine patients with herpes simplex encephalitis examined by CT scan were reviewed. A total of 15 satisfactory scans was analyzed. The majority of our cases had CT scan abnormalities: lucency 63% (5 of 8, one case with suboptimal scan), mass effect 50% (4 of 8), abnormal contrast enhancement 57% (4 of...

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Bibliographic Details
Published inSurgical neurology Vol. 10; no. 5; p. 313
Main Authors Leo, J S, Weiner, R L, Lin, J P, Ransohoff, J
Format Journal Article
LanguageEnglish
Published United States 01.11.1978
Subjects
Adolescent
Adult
Aged
Biopsy
Brain - pathology
Encephalitis, Arbovirus - diagnostic imaging
Encephalitis, Arbovirus - drug therapy
Female
Herpes Simplex - diagnostic imaging
Herpes Simplex - drug therapy
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Vidarabine - therapeutic use
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Summary:Nine patients with herpes simplex encephalitis examined by CT scan were reviewed. A total of 15 satisfactory scans was analyzed. The majority of our cases had CT scan abnormalities: lucency 63% (5 of 8, one case with suboptimal scan), mass effect 50% (4 of 8), abnormal contrast enhancement 57% (4 of 7). The earliest CT scan finding was lucency, presented in two out of three cases studied within 48 hours following onset of symptoms. The primary role of CT scan is to support the suspected diagnosis of herpes simplex encephalitis as well as to indicate the best site for brain biopsy and to permit early effective treatment with adenine arabinoside.
ISSN:0090-3019