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Bilateral mesiotemporal hyperintensity on T2-weighted and fluid-attenuated inversion recovery MR images of a patient with a clinical syndrome of encephalitis is considered to be a classic finding for herpes simplex virus infection. We repor t a case of neurosyphillis with identical MR imaging abnormalities and a similar clinical presentation. Because syphilis is not routinely tested for, awareness of this mimicry of herpes simplex virus encephalitis is important, considering the potential t herapeutic implications. |
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encephalitis
encephalitis,focal
herpes simplex encephalitis
herpes simplex encephalitis,differential diagnosis of
meningovascular syphilis
mesial temporal lobe
misdiagnosis
MRI
MRI,abnormal
MRI,serial
neurosyphilis
syphilis,neurologic complications with
temporal lobe,lesion
temporal lobe,lesion,bilateral
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