Brainstem Lesions in Herpes Encephalitis

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 les...

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Main Authors: Gülçin Benbir, Baki Göksan, Naci Koçer
Format: Article
Language:English
Published: Galenos Yayinevi 2010-12-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-38278
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author Gülçin Benbir
Baki Göksan
Naci Koçer
author_facet Gülçin Benbir
Baki Göksan
Naci Koçer
author_sort Gülçin Benbir
collection DOAJ
description 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
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spelling doaj.art-451e8acabeee428db73d9fc759e0b6962023-02-15T16:19:23ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X1309-25452010-12-01164211214Brainstem Lesions in Herpes EncephalitisGülçin Benbir0Baki Göksan1Naci Koçer2Cerrahpasa Faculty Of Medicine, Department Of Neurology, Istanbul, TurkeyCerrahpasa Faculty Of Medicine, Department Of Neurology, Istanbul, TurkeyCerrahpasa Faculty Of Medicine, Department Of Radiology, Istanbul, TurkeyHerpes 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 improvementhttp://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-38278Encephalitisherpes simplexbrain stem
spellingShingle Gülçin Benbir
Baki Göksan
Naci Koçer
Brainstem Lesions in Herpes Encephalitis
Türk Nöroloji Dergisi
Encephalitis
herpes simplex
brain stem
title Brainstem Lesions in Herpes Encephalitis
title_full Brainstem Lesions in Herpes Encephalitis
title_fullStr Brainstem Lesions in Herpes Encephalitis
title_full_unstemmed Brainstem Lesions in Herpes Encephalitis
title_short Brainstem Lesions in Herpes Encephalitis
title_sort brainstem lesions in herpes encephalitis
topic Encephalitis
herpes simplex
brain stem
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-38278
work_keys_str_mv AT gulcinbenbir brainstemlesionsinherpesencephalitis
AT bakigoksan brainstemlesionsinherpesencephalitis
AT nacikocer brainstemlesionsinherpesencephalitis