| Autor: |
J M, van der Klooster, J L, van Saase, A F, Grootendorst, H A, Sinnige |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
1998 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde. 142(12) |
| ISSN: |
0028-2162 |
| Popis: |
In a 35-year-old woman who presented with acute somnolence, confusion and slow irregular breathing, Epstein-Barr virus (EBV) meningoencephalitis was diagnosed after serological testing and a polymerase chain reaction of the cerebrospinal fluid. She developed papilloedema and bilateral nervus abducens paresis. A CT scan showed generalized oedema of the brain and triventricular hydrocephalus. Treatment with a ventriculoperitoneal shunt and ganciclovir led to complete recovery. Meningoencephalitis is a not uncommon, yet rarely reported complication of infectious mononucleosis. It usually runs a mild course with spontaneous and full recovery. Hydrocephalus secondary to aqueduct stenosis is a complication of Epstein-Barr virus (EBV) meningoencephalitis which has not been reported in adults before. The disease should be considered whenever the clinical condition deteriorates or neurological symptoms increase. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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