Figure 6

Stroke Mimics: Insights from a Retrospective Neuroimaging Study

Lucia Monti*, Davide del Roscio, Francesca Tutino, Tommaso Casseri, Umberto Arrigucci, Matteo Bellini, Maurizio Acampa, Sabina Bartalini, Carla Battisti, Giovanni Bova and Alessandro Rossi

Published: 27 September, 2023 | Volume 7 - Issue 2 | Pages: 094-103

jnnd-aid1083-g006

Figure 6:

Figure 6: Herpes Simplex Virus Encephalitis. Stroke code: 75 years old female with left hemiparesis and alteration of consciousness. a) No-contrast CT shows loss of grey-white differentiation in the right insula (loss of “ribbon sign”) and lateral temporal lobe. b) DWI MRI: corresponding hyperintensity along the right temporo-insular cortex representing cytotoxic edema. c) T2 FLAIR MRI: cortical hyperintensity and swelling in the right insula, anterolateral temporal lobe and temporo-parieto-occipital junction. d) ASL: Focally increased CBF areas corresponding to right insula, antero-lateral temporal lobe and temporo-occipital junction suggested the right diagnosis: Herpes Simplex Virus Encephalitis (HSVE). e) MR-Angiography confirm no arterial obstruction. The quantitative comparison between the right and left hemisphere is showed in the table of ROI f) and in the corresponding ASL perfusion map.

Read Full Article HTML DOI: 10.29328/journal.jnnd.1001083 Cite this Article Read Full Article PDF

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