Acute hemorrhagic leukoencephalitis: neuroimaging features and neuropathologic diagnosis
Document Type
Article
Abstract
A case of biopsy-proven acute hemorrhagic leukoencephalitis is reported. The early computed tomography scans showed extensive bilateral hypodensities with mass effects and foci of microhemorrhages. Bilateral asymmetric hyperintensities in the mesiotemporal and frontal lobes and massive edema were found on T2-weighted and fluid-attenuated inversion recovery magnetic resonance images in a pattern classic for herpes simplex encephalitis. This fulminant demyelinating disease progresses to coma and death within days. Early diagnosis with neuroimaging studies and rapid correlation with the clinical findings of this disease are vital for the institution of potentially lifesaving treatments.
Medical Subject Headings
Adult; Encephalitis, Herpes Simplex (diagnosis, pathology); Humans; Leukoencephalitis, Acute Hemorrhagic (diagnosis, virology); Magnetic Resonance Angiography; Magnetic Resonance Imaging; Male; Tomography, X-Ray Computed
Publication Date
9-1-2005
Publication Title
Journal of computer assisted tomography
ISSN
0363-8715
Volume
29
Issue
5
First Page
689
Last Page
93
PubMed ID
16163044
Digital Object Identifier (DOI)
10.1097/01.rct.0000173843.82364.db
Recommended Citation
Gibbs, Wende N.; Kreidie, Mahmoud A.; Kim, Ronald C.; and Hasso, Anton N., "Acute hemorrhagic leukoencephalitis: neuroimaging features and neuropathologic diagnosis" (2005). Neuroradiology. 9.
https://scholar.barrowneuro.org/neuroradiology/9