Herpes simplex XXXX initially presented with parietal cortex lesions mimicking acute ischemic stroke: A case report.

@entity1 @entity64 @entity1183 @entity198 @entity63 @entity10926 @entity10 @entity221
UNASSIGNED: A 73-year-old @entity1 was admitted to our hospital due to a decreased conscious level and a high @entity221 . Six days before her admission, she felt transient @entity1183 in her right lower limb. Brain MRI taken by her local doctor revealed only right parietal cortex lesions. She was diagnosed with transient @entity63 attack and started on anti-platelet therapy. One day before her admission, she became drowsy, and left-side weakness developed. She was admitted to a community hospital for treating @entity64 . On the next day, she was referred to our hospital because of a high @entity221 . Our brain MRI showed new lesions in her right temporal lobe. She had no @entity64 risk factors, and embolic sources were not detected. Cerebrospinal fluid analysis detected herpes simplex virus DNA. She was diagnosed with @entity10926 ( @entity10926 ). @entity10926 is common @entity198 which develops @entity221 , @entity10 and alteration in mental status. It often involves temporal lobe, but extratemporal lesions alone are not uncommon. Diffusion-weighted images (DWI) of brain are of importance to differentiate @entity10926 from @entity64 . When it is questionable to diagnose with @entity64 for @entity1 with cerebral cortex lesions, they must be monitored with close observation. There is the possibility of initial presentation of @entity10926 in that situation even if @entity1 have no typical symptoms.
