Rabus M.-T.,Service de Geriatrie B2 |
Ungureanu L.,Service de Geriatrie B2 |
Ribemont A.C.,Service de Geriatrie B2 |
Galbrun E.,Service de Geriatrie B2
Revue de Geriatrie | Year: 2014
A 72 year old female is referred to an outpatient memory clinic after experiencing memory loss. Medical history includes the occurrence of herpetic encephalitis, eight years prior to this consultation. The patient shows cognitive impairment, including retrograde and anterograde memory deficits, as well as symptoms of anxiety and depression. The MRI reports a significant destruction of brain parenchyma at the right temporal pole with the presence of a porencephalic cavity. There is also a left hippocampal atrophy combined with vascular leukoence-phalopathy. This raises the question of whether the observed cognitive impairment is a direct outcome of the encephalitis or if it would rather constitute the entry point into a neurodegenerative disease with a neurovascular component. © La Revue de Gériatrie.