Bilateral hippocampal encephalitis caused by enteroviral infection

被引:11
作者
Liow, K
Spanaki, MV
Boyer, RS
Greenlee, JE
Bale, JF
机构
[1] NINDS, NIH, Bethesda, MD 20892 USA
[2] Univ Utah, Sch Med, Dept Pediat Med Imaging, Salt Lake City, UT USA
[3] Univ Utah, Sch Med, Vet Affairs Med Ctr, Neurol Serv, Salt Lake City, UT USA
[4] Univ Utah, Sch Med, Dept Neurol, Salt Lake City, UT USA
关键词
D O I
10.1016/S0887-8994(99)00083-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Nonpolio enteroviral encephalitis usually presents as a diffuse, generalized encephalitis. Focal cerebral involvement by nonpolioviruses is uncommon, and neuroradiologic studies in these cases are usually normal. The authors present a case of a 5-year-old male with an acute encephalitic illness and bilateral lesions of the hippocampi on magnetic resonance imaging. Enteroviral nucleic acids were detected in the cerebrospinal fluid by the reverse transcription polymerase chain reaction. The findings suggest that enteroviral infection should be considered in the differential diagnosis of acute bilateral hippocampal encephalitis in patients in whom polymerase chain reaction fails to demonstrate the presence of herpes simplex virus. (C) 1999 by Elsevier Science Inc. All rights reserved.
引用
收藏
页码:836 / 838
页数:3
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