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Gregory K. Bergey, MD; Patricia K. Coyle, MD; Allan Krumholz, MD; Ernst Niedermeyer, MD

Arch Neurol. 1982;39(5):312-313.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although herpes simplex encephalitis may present only with features suggesting a diffuse process, patients frequently have associated focal neurologic findings referable to temporal and basal frontal lobe involvement.^1-4 Computed tomography (CT),^5,6 radioisotope brain scanning^7,8 and EEG^9-13 may demonstrate characteristic focal abnormalities in these regions. The presence of such localizing signs or abnormalities may first suggest the possibility of herpes encephalitis and prompt the decision to proceed to brain biopsy. Conversely, focal neurologic findings in other than the frontal and temporal lobe regions suggest nonherpetic disorders.

Herpes simplex encephalitis with occipital lobe localization has not been previously described, to our knowledge. We studied a patient with biopsy-proved herpes simplex encephalitis in addition to the characteristic EEG of herpes encephalitis; there was evidence of initial localization in the occipital region.

REPORT OF A CASE

A 17-year-old, right-handed man was admitted to The Johns Hopkins Hospital, Baltimore, because of . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, The Johns Hopkins Hospital and School of Medicine (Drs Bergey, Coyle, Krumholz, and Niedermeyer), and Division of Neurology, Sinai Hospital (Dr Krumholz), Baltimore. Dr Coyle is now with the Department of Neurology, State University of NY at Stony Brook.

Footnotes
Accepted for publication Sept 28, 1981.

Reprint requests to Department of Neurology, The Johns Hopkins Hospital, 601 N Broadway, Baltimore, MD 21205 (Dr Bergey).

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