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Medicine Virology 3be13c5d

Herpes zoster infection can lead to ?

A
Frontal lobe infarction
B
Parietal lobe infarction
C
Temporal lobe infarction
D
Occipital neuralgia
High-Yield Explanation
Ans. is 'd' i.e.. Occipital neuralgia Pathology of Herpex simplex encephalitis:o Herpes simplex infection has a prediliction for the involvement of Temporal lobe.o The lesions in HSV encephalitis are intense hemorrhagic necrosis of the inferior and medial temporal lobe and the mediorbital part of frontal lobes, o The temporal lobe lesions are usually b/L but not symmetrical.o The distribution of the lesion is so characteristic that the diagnosis can be made by gross inspection or by their location and appearance on imaging studies.o In the acute stages of the disease, intranuclear eosinophilic inclusions are found in neurons and ghat ceils in addition to the usual microscopic abnormalities of acute encephalitis and hemorrhagic necrosis.C.S.F examinationo Increased C.S.F pressure.o Pleocytosis, cells are mostly lymphocytes.o Red cells sometimes numbering in thousands and xantho chromia are found reflecting the hemorrhagic nature of the brain lesions.o Protein content is increased in most cases.o Slight reduction of glucose.

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