Concluded Case

viral encephalitis?

19/m was brought to emergency in altered sensorium with h/o seizure.with frothing form mouth,urinary and fecal involvement.csf report normal.cemri has been done,kindly comment on diagnosis and treatment

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Concluded answer

Possibly acute viral encephalitis. Adv CSF study

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Only T1,T2WI and axial FLAIR sequences. No DWI or contrast images. Okk. Multiple areas of long TR hyperintensities in juxtacortical areas of bilateral frontal , parietal and temporal lobes.. Posiibility_ Acute disseminated encephalomyelitis (ADEM). d/d multiple granulonas . without history of fever and DWI sequence . viral encephalitis can not be diagnosed

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Possibly acute viral encephalitis. Adv CSF study

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Lacunar infarct rt frontoparietal region Opinion of neurologist Maintain air way Ns drip

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