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Ventral striatal and septal area hypermetabolism on FDG-PET in herpes simplex viral encephalitis.
Journal of Neurovirology ( IF 3.2 ) Pub Date : 2019-07-08 , DOI: 10.1007/s13365-019-00779-2 T Singhal 1 , I Solomon 2 , F Akbik 1 , S Smirnakis 1 , H Vaitkevicius 1
Journal of Neurovirology ( IF 3.2 ) Pub Date : 2019-07-08 , DOI: 10.1007/s13365-019-00779-2 T Singhal 1 , I Solomon 2 , F Akbik 1 , S Smirnakis 1 , H Vaitkevicius 1
Affiliation
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.
中文翻译:
单纯疱疹病毒性脑炎中FDG-PET对腹侧纹状体和中隔区的代谢亢进。
一名71岁的男子突然发作,全身性强直阵挛性癫痫发作,精神状态改变。最初的脑磁共振成像是正常的,但是脑部FDG-PET扫描显示左腹纹状体和中隔区有高代谢。最初的脑脊液(CSF)检查显示蛋白质轻度升高,但单纯疱疹病毒(HSV)聚合酶链反应(PCR)为阴性。9天后进行的重复CSF检查显示HSV PCR阳性。尸检标本的组织病理学和免疫组化检查证实了CD45 +淋巴细胞和HSV抗原的存在,表明同时存在炎症和与PET异常相对应的病毒感染。
更新日期:2020-04-21
中文翻译:
单纯疱疹病毒性脑炎中FDG-PET对腹侧纹状体和中隔区的代谢亢进。
一名71岁的男子突然发作,全身性强直阵挛性癫痫发作,精神状态改变。最初的脑磁共振成像是正常的,但是脑部FDG-PET扫描显示左腹纹状体和中隔区有高代谢。最初的脑脊液(CSF)检查显示蛋白质轻度升高,但单纯疱疹病毒(HSV)聚合酶链反应(PCR)为阴性。9天后进行的重复CSF检查显示HSV PCR阳性。尸检标本的组织病理学和免疫组化检查证实了CD45 +淋巴细胞和HSV抗原的存在,表明同时存在炎症和与PET异常相对应的病毒感染。