The article in the Canadian Journal of Neurological Sciences discusses two cases of young patients who underwent epilepsy surgery following chronic Herpes Simplex Virus Encephalitis (HSVE) and exhibited unexpected neuropathological findings of phosphorylated tau accumulation. The patients had contrasting post-operative courses, but both showed chronic inflammation and HSV-1 DNA detectable by PCR. The study highlights the association between HSVE and abnormal phosphorylated tau accumulation, suggesting further investigation into potential long-term neurologic sequelae among HSVE survivors and the consideration of prophylactic acyclovir use during neurosurgical interventions for patients with a history of HSVE.