Herpes Simplex Type 1 Encephalitis Restricted to the Brainstem in a Pediatric Patient

Herpes simplex encephalitis is a potentially fatal infection of central nervous system that typically involves frontal and temporal lobes. Occasionally, it presents an extratemporal involvement and in rarer cases, it is limited to the brainstem. We describe a case of an adolescent who presented with...

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Detalles Bibliográficos
Autores principales: Arita, Juliana Harumi, Lin, Jaime, Peruchi, Mirella Maccarini, Rodrigues, Marcelo Masruha, Vilanova, Luiz Celso Pereira
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910496/
https://www.ncbi.nlm.nih.gov/pubmed/20671915
http://dx.doi.org/10.1155/2010/606584
Descripción
Sumario:Herpes simplex encephalitis is a potentially fatal infection of central nervous system that typically involves frontal and temporal lobes. Occasionally, it presents an extratemporal involvement and in rarer cases, it is limited to the brainstem. We describe a case of an adolescent who presented with fever, sore throat, and vertigo. Clinical picture evolved to lethargy, tetraparesis, consciousness impairment, and respiratory failure. MRI showed lesions restricted to the brainstem. PCR of CSF was positive for herpes simplex type 1.

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