As I discussed before, herpes encephalitis is the popular question in MRCP. The above MRI of brain shows T2 hyperintensitiy involving the right temporal lobe. The usual lobe involved is temporal. EEG may show focal temporal lobe involvement.
Classical CSF finding in viral encephalitis is elevated protein with presence of lymphocyte.Diagnosis can be confirmed by PCR detection.
Treatment - acyclovir.
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