title: Computed tomography perfusion usefulness in early imaging diagnosis of herpes simplex virus encephalitis.
abstract: An early diagnosis is crucial in herpes simplex virus encephalitis patients in order to institute acyclovir therapy and reduce mortality rates. Magnetic resonance imaging (MRI) is considered the gold standard for evaluation of these patients, but is frequently not available in the emergency setting. We report the first case of a computed tomography (CT) perfusion study that helped to establish a prompt diagnosis revealing abnormal increase of blood flow in the affected temporoparietal cortex at an early stage.
authors.affiliation: Department of Radiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain. emarco@seram.org
authors.forename: E
authors.initials: E
authors.lastname: Marco de Lucas
authors.forename: A
authors.initials: A
authors.lastname: González Mandly
authors.forename: A
authors.initials: A
authors.lastname: Gutiérrez
authors.forename: E
authors.initials: E
authors.lastname: Sánchez
authors.forename: J
authors.initials: J
authors.lastname: Arnáiz
authors.forename: T
authors.initials: T
authors.lastname: Piedra
authors.forename: E
authors.initials: E
authors.lastname: Rodríguez
authors.forename: C
authors.initials: C
authors.lastname: Díez
mesh_terms: D020803:Encephalitis, Herpes Simplex / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010296:Parietal Lobe / Q000098:blood supply; D013702:Temporal Lobe / Q000098:blood supply; D014057:Tomography, X-Ray Computed