HSV-1 encephalitis relapse after epilepsy surgery: a case report and review of the literature

被引:0
|
作者
Vittorio Mantero
Massimo Cossu
Andrea Rigamonti
Anna Fiumani
Paola Basilico
Laura Tassi
Andrea Salmaggi
机构
[1] “A. Manzoni” Hospital – ASST Lecco,Neurological Department
[2] Niguarda Hospital,“Claudio Munari” Epilepsy Surgery Centre
来源
Journal of NeuroVirology | 2020年 / 26卷
关键词
Epilepsy surgery; Herpes simplex encephalitis; Herpes simplex virus; Recurrent herpes encephalitis; Seizure;
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暂无
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学科分类号
摘要
Herpes simplex encephalitis relapses have been rarely reported, with only few cases occurring after neurosurgical interventions. A young man presented a late herpes simplex encephalitis relapse after left antero-mesial temporal resection for his refractory temporal lobe epilepsy. Eight days after surgery, he developed fever and aphasia. CSF PCR revealed more than 12,000 copies/ml of HSV-1 DNA. Intravenous acyclovir was immediately started with a complete recovery. Postoperative herpes simplex encephalitis can occur as primary infection or as relapse of previous infection. Surgical manipulation of brain parenchyma in the site of a previous infection can act as a trigger for viral reactivation. Early onset of antiviral therapy is fundamental and it is a strong predictor of clinical outcome. Despite no studies on prophylactic treatment with acyclovir in patients with previous herpes simplex encephalitis candidate to neurosurgery are available, we suggest that prophylactic treatment should be recommended.
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页码:138 / 141
页数:3
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