Brainstem Lesions in Herpes Encephalitis

Benbir G., Goksan B., Kocer N.

TURKISH JOURNAL OF NEUROLOGY, cilt.16, sa.4, ss.211-214, 2010 (ESCI, Scopus, TRDizin) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 4
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1111/j.1750-3639.2009.00354.x
  • Dergi Adı: TURKISH JOURNAL OF NEUROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.211-214
  • Anahtar Kelimeler: Encephalitis, herpes simplex, brain stem
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır

Özet

Herpes simplex encephalitis typically involves the medial temporal and inferior frontal lobes; brainstem lesions are very unusual. We present a 42-year-old woman admitted with delirium and diagnosed as herpes simplex encephalitis. The patient had gadolinium-enhancing inferior frontal and pontine lesions on magnetic resonance imagings. The patient was successfully treated without any neurologic sequelae, though contrast-enhancement was still present. This case report emphasizes that herpes simplex encephalitis should be investigated in the differential diagnosis of brainstem lesions. Moreover, contrast-enhancement may persist for some months even after clinical improvement.