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Examines diagnostic challenges of herpetic encephalitis in stroke-like patients, suggesting the importance of prompt intervention.
HSVE mimics large‐vessel stroke with focal deficits and altered consciousness, challenging early diagnosis: Hemorrhagic lesions outside vascular territories warrant urgent lumbar puncture and empiric acyclovir initiation; Malignant edema may require decompressive craniectomy as a life‐saving intervention. Outcomes vary, but prompt neurosurgical evaluation is essential when intracranial hypertension persists.
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Neves et al. (2026) studied this question.
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