Abstract

A 52-year-old male presented with a fortnight history of delirium and partial motor seizures. He had no fever or other systemic or neurological signs, but he showed a mini-mental state examination (MMSE) score of 8/30. Fluid-attenuated inversion recovery (FLAIR) magnetic resonance images (MRI) of the head revealed hyperintense signals in both temporal lobes (Figure). Serologies for herpes simplex virus, varicella zoster virus, toxoplasma, cytomegalovirus, Epstein-barr virus, and HIV were negative, but fluorescent treponemal antibody-absorption (FTA-Abs) and venereal disease research laboratory [...]

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