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Fig. 15. —65-year-old man with herpes encephalitis. T2-weighted MR image shows diffuse high signal intensity in left temporal lobe (arrow). Focal area of low signal intensity in medial aspect of lobe is consistent with hemorrhage (arrowhead). Although herpes simplex may also cause fulminant encephalitis, predilection for involvement of temporal lobes is markedly different from distribution of eastern equine encephalitis seen in Figure 14.

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