Figure 6

Stroke Mimics: Insights from a Retrospective Neuroimaging Study

Lucia Monti*, Davide del Roscio, Francesca Tutino, Tommaso Casseri, Umberto Arrigucci, Matteo Bellini, Maurizio Acampa, Sabina Bartalini, Carla Battisti, Giovanni Bova and Alessandro Rossi

Published: 27 September, 2023 | Volume 7 - Issue 2 | Pages: 094-103

jnnd-aid1083-g006

Figure 6:

Figure 6: Herpes Simplex Virus Encephalitis. Stroke code: 75 years old female with left hemiparesis and alteration of consciousness. a) No-contrast CT shows loss of grey-white differentiation in the right insula (loss of “ribbon sign”) and lateral temporal lobe. b) DWI MRI: corresponding hyperintensity along the right temporo-insular cortex representing cytotoxic edema. c) T2 FLAIR MRI: cortical hyperintensity and swelling in the right insula, anterolateral temporal lobe and temporo-parieto-occipital junction. d) ASL: Focally increased CBF areas corresponding to right insula, antero-lateral temporal lobe and temporo-occipital junction suggested the right diagnosis: Herpes Simplex Virus Encephalitis (HSVE). e) MR-Angiography confirm no arterial obstruction. The quantitative comparison between the right and left hemisphere is showed in the table of ROI f) and in the corresponding ASL perfusion map.

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