Atypical herpes simplex encephalitis presenting as operculum syndrome

被引：0

作者：

R. W. Wolf

Detlev Schultze

Christian Fretz

Markus Weissert

Peter Waibel

机构：

[1] Institut für Radiologie,

[2] Kantonsspital St. Gallen,undefined

[3] CH-9007 St. Gallen,undefined

[4] Switzerland,undefined

[5] Institut für Klinische Mikrobiologie und Immunologie,undefined

[6] St. Gallen,undefined

[7] Switzerland,undefined

[8] Abteilung für Pädiatrische Neurologie,undefined

[9] Ostschweizer Kinderspital,undefined

[10] St. Gallen,undefined

[11] Switzerland,undefined

[12] Abteilung für Radiologie,undefined

[13] Ostschweizer Kinderspital,undefined

[14] St. Gallen,undefined

[15] Switzerland,undefined

来源：

Pediatric Radiology | 1999年 / 29卷

关键词：

Magnetic Resonance Imaging; Polymerase Chain Reaction; Cerebrospinal Fluid; Herpes Simplex; Encephalitis;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

This case report demonstrates the course of herpes simplex virus cerebritis in a patient aged 7 years 2 months who presented with non-specific symptoms followed by an epileptic attack. Subcortical, bilateral opercular and bilateral thalamic lesions were detected, but the temporal and inferior frontal lobes were spared. The patient developed anarthria, impairment of mastication and swallowing consistent with operculum syndrome. Diagnosis was made by magnetic resonance imaging and elevation of oligoclonal antibodies specific to herpes simplex virus in cerebrospinal fluid after an unexpectedly negative polymerase chain reaction test.

引用

页码：191 / 193

页数：2