3 y male presented with fever & unconscious.
Bilateral asymmetrical hypodense area in the temporal region with
HSE is most common viral encephalitis in children & adults.
HSE as a particular predilection for limbic system that is Temporal lobes, Insular
cortex, sub frontal area & the cingulate gyri. involvement may
initially appear unilateral but is typically followed by
less severe contra lateral disease. This "sequential
bilaterality" is highly suggestive of HSE1.
Patient typically present with altered
mental status. Seizures, fever and head aches are also common.
Early diagnosis & prompt therapy are
essential as disease progress rapidly. Mortality rate with HSE
between 50% to 70%
:Diagnostic neuroradiology by ANNE G. OSBORN.
by :PROF. DR.V. RAMATARAK NATH