Asymptomatic Hematoma in Herpes Simplex Encephalitis.
10.14253/kjcn.2015.17.2.82
- Author:
Soo Jin SONG
1
;
Boo Suk NA
;
Jong Min SONG
;
Ho Geol WOO
;
Dokyung LEE
;
Tae Beom AHN
Author Information
1. Department of Neurology, College of Medicine, Kyung Hee University, Seoul, Korea. ricash@hanmail.net
- Publication Type:Case Report
- Keywords:
Herpes simplex virus;
Meningoencephalitis;
Acyclovir;
Hematoma
- MeSH:
Acyclovir;
Brain;
Encephalitis, Herpes Simplex*;
Erythrocytes;
Follow-Up Studies;
Hematoma*;
Herpes Simplex*;
Herpesvirus 1, Human;
Leukocytosis;
Magnetic Resonance Imaging;
Meningoencephalitis;
Neck;
Polymerase Chain Reaction;
Simplexvirus;
Sleep Stages;
Temporal Lobe
- From:Korean Journal of Clinical Neurophysiology
2015;17(2):82-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.
