Korean Journal of Clinical Neurophysiology  2015;17(2):82-85

doi:10.14253/kjcn.2015.17.2.82

Asymptomatic Hematoma in Herpes Simplex Encephalitis.

Soo Jin SONG 1 ; Boo Suk NA ; Jong Min SONG ; Ho Geol WOO ; Dokyung LEE ; Tae Beom AHN

Affiliations

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Keywords

Herpes simplex virus; Meningoencephalitis; Acyclovir; Hematoma

Country

Republic 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.