case_images: PMC3263546_01
case_images: CT head: left temporal lobe hypodensity with a discrete area of hemorrhage.
case_images: NEUROLOGY2011-474672.001.jpg
case_images: PMC3263546_01_NEUROLOGY2011-474672.001.jpg
case_images: fig1
case_images: A CT scan of the head showed left temporal lobe hypodensity, 8.3 centimeters in greatest diameter, with areas of hemorrhage within mesial left temporal lobe (see Figure 1).
case_images: MRI T2 FLAIR: hyperintensity of lesions on T2.
case_images: NEUROLOGY2011-474672.002.jpg
case_images: PMC3263546_01_NEUROLOGY2011-474672.002.jpg
case_images: fig2
case_images: MRI of the brain was obtained, showing a large lesion of the left temporal lobe with extension to the frontal lobe and noncontiguous ill-defined lesions of the right temporal lobe (see Figure 2).
case_images: MR spectroscopy: choline peak (as indicated by arrow) at the level of the medial left temporal lobe.
case_images: NEUROLOGY2011-474672.003.jpg
case_images: PMC3263546_01_NEUROLOGY2011-474672.003.jpg
case_images: fig3
case_images: MR spectroscopy demonstrated an increased choline peak at the level of the medial left temporal lobe, suggestive of neoplastic disease (see Figure 3).
case_images: Pathology: HSV positive nuclei.
case_images: NEUROLOGY2011-474672.004.jpg
case_images: PMC3263546_01_NEUROLOGY2011-474672.004.jpg
case_images: fig4
case_images: Pathology revealed HSV positive nuclei in the cortex and subcortical white matter (see Figure 4).