Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Neurology


Answer 2
  1. HSV. Of the organisms mentioned, HSV has a predilection for the limbic system of the temporal lobe and is most likely to cause sharp wave discharges in the temporal lobes but no electrographic seizures on EEG. In a majority of cases of herpes simplex encephalitis, the EEG is abnormal and shows focal temporal changes known as periodic lateralized epileptiform discharges, which consist of repetitive spike or sharp wave discharges that are focal or lateralized over 1 hemisphere, recur at intervals of 0.5 to 5 seconds, and continue throughout most of the duration of an EEG. Periodic lateralized epileptiform discharges are often seen in the setting of unilateral lesions such as cerebral infarctions, encephalitis, or tumors.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 10/24/08 • nvf