Reactivation and centripetal spread of herpes simplex virus complicating acoustic neuroma resection

被引：17

作者：

Jalloh, Ibrahim ^{[1
]}

Guilfoyle, Mathew R. ^{[1
]}

Lloyd, Simon K. W. ^{[2
]}

Macfarlane, Robert ^{[1
]}

Smith, Chris ^{[3
]}

机构：

[1] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Dept Neurosurg, Cambridge CB2 2QQ, England

[2] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Dept Otorhinolaryngol, Cambridge CB2 2QQ, England

[3] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Dept Virol, Cambridge CB2 2QQ, England

来源：

SURGICAL NEUROLOGY | 2009年 / 72卷 / 05期

关键词：

Acoustic neuroma; Herpes simplex; Reactivation; DELAYED FACIAL PALSY; ENCEPHALITIS; NEUROSURGERY; PREVALENCE;

D O I：

10.1016/j.surneu.2008.11.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Herpes simplex is a common human pathogen that has rare but severe manifestations including encephalitis. Case Description: A 44-year-old man underwent uneventful resection of an acoustic neuroma. Postoperatively, he developed swinging pyrexia, vomiting, and episodic confusion. Analysis of cerebrospinal fluid showed a lymphocytosis, and polymerase chain reaction revealed herpes simplex DNA. After treatment of herpes encephalitis with acyclovir, the patient made a good recovery. Conclusion: Herpes encephalitis is a rare complication of neurosurgical procedures, and the most likely etiology is reactivation of latent infection from manipulation of cranial nerves. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：502 / 504

页数：3

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