J Korean Neurol Assoc.  2008 May;26(2):136-138.

Bilateral Medial Temporal Hematomas in HSV-1 Encephalitis

Affiliations
  • 1Department of Neurology, Asan Medical Center, Ulsan University, Collage of Medicine, Seoul, Korea. sunuck@amc.seoul.kr
  • 2Department of Neurology, Seoul medical Center, Seoul, Korea.

Abstract

Herpes simplex encephalitis (HSE) is the most common form of encephalitis, with predilection for the temporal lobes and insular cortex. The presence of RBCs is a characteristic finding of CSF analysis and hemorrhagic transformation of the lesions on CT or MRI is not a rare, because the hemorrhagic necrosis is an important pathologic finding of HSE. However, intracerebral hematoma is rarely reported. We report a case of PCR proven HSE with hemotomas in both the medial temporal lobes, which has not been reported.

Keyword

Herpes simplex encephalitis, Intracerebral hematoma, Complication

MeSH Terms

Encephalitis
Encephalitis, Herpes Simplex
Hematoma
Herpesvirus 1, Human
Methylmethacrylates
Necrosis
Polymerase Chain Reaction
Polystyrenes
Temporal Lobe
Methylmethacrylates
Polystyrenes
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