Abstract | BACKGROUND: CASE PRESENTATION: A previously healthy 34-year-old Korean female presented with fever, myalgia and severe headache. Brain MRI showed a high T2 signal intensity change and diffuse swelling of the right temporal lobe. Polymerase chain reaction testing of the cerebrospinal fluid confirmed the presence of herpes simplex virus 1. The patient was admitted for close observation and intravenous acyclovir. On hospital day 3, she had a sudden onset of vomiting and severe headache. Brain CT showed frank temporal lobe hemorrhage. Despite aggressive medical treatment, she became increasingly drowsy. Ultimately, she underwent emergency right decompressive craniectomy, expansile duraplasty and intracranial pressure monitor insertion. The patient recovered fully without any neurological deficits or neuropsychological problems. She was discharged after completion of 2 weeks of acyclovir and returned 2 months later for cranioplasty. CONCLUSIONS:
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Authors | Yoon Hwan Byun, Eun Jin Ha, Sang-Bae Ko, Kyung Hyun Kim |
Journal | BMC neurology
(BMC Neurol)
Vol. 18
Issue 1
Pg. 176
(Oct 23 2018)
ISSN: 1471-2377 [Electronic] England |
PMID | 30352560
(Publication Type: Case Reports, Journal Article, Review)
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Topics |
- Adult
- Cerebral Hemorrhage
(etiology, surgery)
- Decompressive Craniectomy
(methods)
- Encephalitis, Herpes Simplex
(complications, surgery)
- Female
- Humans
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