Hemorrhagic herpes encephalitis. a difficult differential diagnosis with computerized tomography
Neumann, N.U.; von Albert, H.H.
Fortschritte der Medizin 100(5): 183-186
1982
ISSN/ISBN: 0015-8178 PMID: 6281148 Document Number: 184995
Herpes simplex encephalitis (HSE) is the most common sporadically appearing encephalitis in Central Europe. Differential diagnosis to brain tumors or spontaneous intercerebral hemorrhage is difficult. There are CT scan findings which are characteristic of HSE but there are no pathognomonic patterns. These characteristic findings are helpful in differential diagnosis to neoplastic or vascular processes. Thus, other diagnostic procedures (i.e. brain biopsy) to confirm diagnosis of HSE and effective therapy may be carried out in time. The difficulties in differential diagnosis are shown by the presented case.