Book contents
- Common Pitfalls in Cognitive and Behavioral Neurology
- Common Pitfalls in Cognitive and Behavioral Neurology
- Copyright page
- Dedication
- Contents
- Diseases Discussed in the Book
- Preface
- Acknowledgements
- Abbreviations
- Part 1 Missing the Diagnosis Altogether
- Part 2 Misidentifying the Impaired Cognitive Domain
- Part 3 Missing Important Clues in the History
- Part 4 Failure of Pattern Recognition
- Part 5 Difficult-to-Characterize Cognitive/Behavioral Disorders
- Part 6 Clinical Findings That Are Subtle
- Part 7 Misinterpreting Test Results
- Case 31 Does a Positive Amyloid Scan Always Mean Alzheimer Disease?
- Case 32 Herpes Encephalitis Recurrence?
- Case 33 Refractory “VGKC Encephalopathy”
- Case 34 sCJD with Negative 14–3–3?
- Case 35 You Have Been Diagnosed with Alzheimer Disease; Is That It?
- Part 8 Attributing Findings to a Known or Suspected Disorder
- Part 9 Missing Radiographic Clues
- Part 10 Management Misadventures
- Index
- Plate Section (PDF Only)
- References
Case 32 - Herpes Encephalitis Recurrence?
from Part 7 - Misinterpreting Test Results
Published online by Cambridge University Press: 03 November 2020
- Common Pitfalls in Cognitive and Behavioral Neurology
- Common Pitfalls in Cognitive and Behavioral Neurology
- Copyright page
- Dedication
- Contents
- Diseases Discussed in the Book
- Preface
- Acknowledgements
- Abbreviations
- Part 1 Missing the Diagnosis Altogether
- Part 2 Misidentifying the Impaired Cognitive Domain
- Part 3 Missing Important Clues in the History
- Part 4 Failure of Pattern Recognition
- Part 5 Difficult-to-Characterize Cognitive/Behavioral Disorders
- Part 6 Clinical Findings That Are Subtle
- Part 7 Misinterpreting Test Results
- Case 31 Does a Positive Amyloid Scan Always Mean Alzheimer Disease?
- Case 32 Herpes Encephalitis Recurrence?
- Case 33 Refractory “VGKC Encephalopathy”
- Case 34 sCJD with Negative 14–3–3?
- Case 35 You Have Been Diagnosed with Alzheimer Disease; Is That It?
- Part 8 Attributing Findings to a Known or Suspected Disorder
- Part 9 Missing Radiographic Clues
- Part 10 Management Misadventures
- Index
- Plate Section (PDF Only)
- References
Summary
This 52-year-old man presented to the emergency room with aggressive behavior and emotional lability progressing over the previous three days. He had completed a three-week course of acyclovir for the treatment of herpes simplex encephalitis (HSE) two weeks prior. Other than residual mild memory difficulties, he was fully functional until his more recent behavioral changes. He was afebrile and his vitals were within normal limits. He was irritable and his attention fluctuated. His exam otherwise unremarkable. MRI of the brain with and without contrast was unremarkable. Laboratory results were significant only for mildly increased CSF protein (100 mg/dl normal range: 15–45 mg/dl). Given the concern of HSE relapse, he was placed on acyclovir again.
- Type
- Chapter
- Information
- Common Pitfalls in Cognitive and Behavioral NeurologyA Case-Based Approach, pp. 103Publisher: Cambridge University PressPrint publication year: 2020