Herpes simplex type 1 encephalitis restricted to the brainstem in a pediatric patient.

Autor: Arita JH; Division of Child Neurology, Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Botucatu 720, 04023-900, São Paulo, Brazil., Lin J, Peruchi MM, Rodrigues MM, Vilanova LC
Jazyk: angličtina
Zdroj: Case reports in medicine [Case Rep Med] 2010; Vol. 2010, pp. 606584. Date of Electronic Publication: 2010 Jun 30.
DOI: 10.1155/2010/606584
Abstrakt: 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.
Databáze: MEDLINE