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World Journal of Pharmaceutical
and Medical Research

An International Peer Reviewed Journal for Pharmaceutical and Medical Research and Technology
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
ISSN 2455-3301
IMPACT FACTOR: 4.639

ICV : 78.6

Abstract

A CASE OF TEMPORAL LOBE INTRACRANIAL SPACE OCCUPYING LESION MIMICKING AS HERPES SIMPLEX VIRAL ENCEPHALITIS

Prof. Omer Farooq, Dr. Irfan Gul* and Mudasir Ahmad Bhat

ABSTRACT

We report a case of 60-year-old man with intracranial space occupying lesion presenting as acute encephalitic illness. The patient presented with fever, abnormal behaviour and generalized tonic clonic seizures. Initial brain MRI showed left temporal lobe hyper intensity and Cerebrospinal fluid cytology revealed no cells with mild elevated protein. The patient had initially improved after medical treatment with a presumptive diagnosis of herpes simplex encephalitis (HSE). After 8weeks, the patient complained of recurrent seizures and altered sensorium. A follow- up brain neuroimaging (MRI) revealed marked increases in size and surrounding perilesional edema of the left temporal lesion on T2-weighted images and a new contrast-enhancing lesion on gadolinium -enhancedT1-weighted images. Stereotactic brain biopsy was planned.

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