Cargando…

Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation

A 69-year-old female with a history of breast cancer and hypertension presented with a rare case of herpes simplex encephalitis (HSE) isolated to her left parietal lobe. The patient’s first biopsy was negative for herpes simplex virus (HSV) I/II antigens, but less than two weeks later, the patient t...

Descripción completa

Detalles Bibliográficos
Autores principales: Fisahn, Christian, Tkachenko, Lara, Moisi, Marc, Rostad, Steven, Umeh, Randle, Zwillman, Michael E, Tubbs, R. Shane, Page, Jeni, Newell, David W., Delashaw, Johnny B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071176/
https://www.ncbi.nlm.nih.gov/pubmed/27774355
http://dx.doi.org/10.7759/cureus.785
_version_ 1782461243853897728
author Fisahn, Christian
Tkachenko, Lara
Moisi, Marc
Rostad, Steven
Umeh, Randle
Zwillman, Michael E
Tubbs, R. Shane
Page, Jeni
Newell, David W.
Delashaw, Johnny B
author_facet Fisahn, Christian
Tkachenko, Lara
Moisi, Marc
Rostad, Steven
Umeh, Randle
Zwillman, Michael E
Tubbs, R. Shane
Page, Jeni
Newell, David W.
Delashaw, Johnny B
author_sort Fisahn, Christian
collection PubMed
description A 69-year-old female with a history of breast cancer and hypertension presented with a rare case of herpes simplex encephalitis (HSE) isolated to her left parietal lobe. The patient’s first biopsy was negative for herpes simplex virus (HSV) I/II antigens, but less than two weeks later, the patient tested positive on repeat biopsy. This initial failure to detect the virus and the similarities between HSE and symptoms of intracranial hemorrhage (ICH) suggests repeat testing for HSV in the presence of ICH. Due to the frequency of patients with extra temporal HSE, a diagnosis of HSE should be more readily considered, particularly when a patient may not be improving and a concrete diagnosis has not been solidified.
format Online
Article
Text
id pubmed-5071176
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-50711762016-10-21 Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation Fisahn, Christian Tkachenko, Lara Moisi, Marc Rostad, Steven Umeh, Randle Zwillman, Michael E Tubbs, R. Shane Page, Jeni Newell, David W. Delashaw, Johnny B Cureus Neurosurgery A 69-year-old female with a history of breast cancer and hypertension presented with a rare case of herpes simplex encephalitis (HSE) isolated to her left parietal lobe. The patient’s first biopsy was negative for herpes simplex virus (HSV) I/II antigens, but less than two weeks later, the patient tested positive on repeat biopsy. This initial failure to detect the virus and the similarities between HSE and symptoms of intracranial hemorrhage (ICH) suggests repeat testing for HSV in the presence of ICH. Due to the frequency of patients with extra temporal HSE, a diagnosis of HSE should be more readily considered, particularly when a patient may not be improving and a concrete diagnosis has not been solidified. Cureus 2016-09-16 /pmc/articles/PMC5071176/ /pubmed/27774355 http://dx.doi.org/10.7759/cureus.785 Text en Copyright © 2016, Fisahn et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Fisahn, Christian
Tkachenko, Lara
Moisi, Marc
Rostad, Steven
Umeh, Randle
Zwillman, Michael E
Tubbs, R. Shane
Page, Jeni
Newell, David W.
Delashaw, Johnny B
Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title_full Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title_fullStr Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title_full_unstemmed Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title_short Herpes Simplex Encephalitis of the Parietal Lobe: A Rare Presentation
title_sort herpes simplex encephalitis of the parietal lobe: a rare presentation
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071176/
https://www.ncbi.nlm.nih.gov/pubmed/27774355
http://dx.doi.org/10.7759/cureus.785
work_keys_str_mv AT fisahnchristian herpessimplexencephalitisoftheparietallobeararepresentation
AT tkachenkolara herpessimplexencephalitisoftheparietallobeararepresentation
AT moisimarc herpessimplexencephalitisoftheparietallobeararepresentation
AT rostadsteven herpessimplexencephalitisoftheparietallobeararepresentation
AT umehrandle herpessimplexencephalitisoftheparietallobeararepresentation
AT zwillmanmichaele herpessimplexencephalitisoftheparietallobeararepresentation
AT tubbsrshane herpessimplexencephalitisoftheparietallobeararepresentation
AT pagejeni herpessimplexencephalitisoftheparietallobeararepresentation
AT newelldavidw herpessimplexencephalitisoftheparietallobeararepresentation
AT delashawjohnnyb herpessimplexencephalitisoftheparietallobeararepresentation