Ventral striatal and septal area hypermetabolism on FDG-PET in herpes simplex viral encephalitis.

Abstract:

:A 71-year-old man presented with sudden onset, generalized tonic-clonic seizures and altered mental status. Initial brain magnetic resonance imaging was normal but a brain FDG-PET scan showed hypermetabolism in the left ventral striatum and septal area. Initial cerebrospinal fluid (CSF) examination showed mildly elevated protein but herpes simplex virus (HSV) polymerase chain reaction (PCR) was negative. A repeat CSF examination performed 9 days later showed a positive HSV PCR. Histopathological and immunohistochemical examination of autopsy specimen confirmed the presence of CD45+ lymphocytes and HSV antigen, suggesting the presence of both inflammation and viral infection corresponding to PET abnormality.

journal_name

J Neurovirol

journal_title

Journal of neurovirology

authors

Singhal T,Solomon I,Akbik F,Smirnakis S,Vaitkevicius H

doi

10.1007/s13365-019-00779-2

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

118-120

issue

1

eissn

1355-0284

issn

1538-2443

pii

10.1007/s13365-019-00779-2

journal_volume

26

pub_type

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