HERPES-SIMPLEX ENCEPHALITIS MIMICKING MUMPS

被引:3
作者
ALDEEB, SM
机构
[1] Department of Clinical Neurosciences, Riyadh Armed Forces Hospital, Riyadh
关键词
HERPES SIMPLEX; ENCEPHALITIS; PSEUDOBULBAR PALSY; NEURO-IMAGING; PERIODIC LATERALIZING EPILEPTIC DISCHARGES;
D O I
10.1016/0303-8467(93)90092-U
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 16-year-old male diabetic patient presented with bilateral salivary gland swellings followed by encephalitis. The EEG did not show the characteristic periodic lateralising epileptic discharges. Neuro-imaging disclosed compromise of temporal and frontal lobes as well as brain stem which correlated well with his clinical deterioration. Serology and frontal brain biopsy were positive for herpes simplex virus while mumps titers were not significant. Despite delayed acyclovir therapy, the patient recovered enough to be discharged home with a permanent pseudobulbar palsy. Herpes simplex encephalitis involving zones other than temporal lobes is exceptional. To our knowledge, there are no reported cases of pseudobulbar palsy as a sequelae of HSV encephalitis.
引用
收藏
页码:49 / 53
页数:5
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