Korean J Clin Neurophysiol.
2015 Dec;17(2):82-85. 10.14253/kjcn.2015.17.2.82.
Asymptomatic Hematoma in Herpes Simplex Encephalitis
- Affiliations
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- 1Department of Neurology, College of Medicine, Kyung Hee University, Seoul, Korea. ricash@hanmail.net
- KMID: 2403245
- DOI: http://doi.org/10.14253/kjcn.2015.17.2.82
Abstract
- A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.
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