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A Diagnostic Problem in Temporal Lobe Disease: Report of Three Cases

CAPT. DONALD R. BENNETT, USAF (MC); GABRIELE M. ZuRHEIN, M.D.; THEODORE S. ROBERTS, M.D.

Arch Neurol. 1962;6(2):96-113.

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

Introduction

The name "acute necrotizing encephalitis" (ANE), as coined by van Bogaert, Radermecker, and Devos¹ in 1955, is used to designate a form of meningoencephalitis characterized by softening of the temporal lobes and related rhinencephalic structures, and microscopically by an extensive necrosis of these areas. During the past 2 decades, 59 cases of similar clinical and anatomical findings in patients over 1 year of age with a duration of illness less than 4 weeks have appeared in the literature.^1-25 Patients under 1 year of age were omitted because the necrosis tends to be more generalized. The duration of illness was limited to 4 weeks to emphasize the acute diagnostic problem. In 46 of these, Type A intranuclear inclusions were found in nerve or neuroglial cells^1-16; of 20 cases in which viral isolation studies were made on brain tissue,^* 13 were positive for herpes simplex.^{2,3,11,12,15-20} The remaining . . . [Full Text PDF of this Article]

Author Affiliations
MADISON, WIS.

From the Departments of Neurology, Pathology, and Neurosurgery, University of Wisconsin Hospitals.

Footnotes
Received for publication Sept. 12, 1961.

Presented in part at the 86th Annual Meeting of the American Neurological Association, Atlantic City, N.J., June 12-14, 1961.

United States Air Force-sponsored resident in Neurology (Capt. Bennett). The contents of this article are the personal views of the Air Force author and are not to be construed as statement of official Air Force policy.

References 2, 3, 11, 12, 15-20, 23, and 24.

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