Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges

Herpes Simplex Encephalitis has been found to be one of the most common causes of fatal viral encephalitis (1). The mortality rate in untreated patients has been found to be as high as 70%, thus, correct management and early diagnosis are important for good prognoses and crucial for predicting outco...

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Main Authors: Justin Chuang, Sona K. Shah
Format: Article
Language:English
Published: Marshall University 2017-01-01
Series:Marshall Journal of Medicine
Subjects:
Online Access:https://mds.marshall.edu/cgi/viewcontent.cgi?article=1081&context=mjm
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author Justin Chuang
Sona K. Shah
author_facet Justin Chuang
Sona K. Shah
author_sort Justin Chuang
collection DOAJ
description Herpes Simplex Encephalitis has been found to be one of the most common causes of fatal viral encephalitis (1). The mortality rate in untreated patients has been found to be as high as 70%, thus, correct management and early diagnosis are important for good prognoses and crucial for predicting outcomes. (1,2) In patients with Herpes Simplex Virus (HSV), specific findings such as the Periodic lateralized epileptic form discharges (PLEDs) are considered a specific finding on electroencephalogram (EEG). PLEDs are usually seen in the context of destructive structural lesions involving the cortex. Other causes may include acute ischemic stroke and, less commonly, tumors. This finding of PLEDs has been linked to epileptic seizures, including status epilepticus.(3) We report a case of HSV type 2 infection and PLEDs as it is not a common presentation, unlike HSV type 1 infection.
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spelling doaj.art-799d295b922b4aab9dc5d64f9d7ab2942022-12-22T03:05:36ZengMarshall UniversityMarshall Journal of Medicine2379-95362017-01-01312428http://dx.doi.org/10.18590/mjm.2017.vol3.iss1.6Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform DischargesJustin Chuang 0Sona K. Shah1Marshall UniversityMarshall UniversityHerpes Simplex Encephalitis has been found to be one of the most common causes of fatal viral encephalitis (1). The mortality rate in untreated patients has been found to be as high as 70%, thus, correct management and early diagnosis are important for good prognoses and crucial for predicting outcomes. (1,2) In patients with Herpes Simplex Virus (HSV), specific findings such as the Periodic lateralized epileptic form discharges (PLEDs) are considered a specific finding on electroencephalogram (EEG). PLEDs are usually seen in the context of destructive structural lesions involving the cortex. Other causes may include acute ischemic stroke and, less commonly, tumors. This finding of PLEDs has been linked to epileptic seizures, including status epilepticus.(3) We report a case of HSV type 2 infection and PLEDs as it is not a common presentation, unlike HSV type 1 infection.https://mds.marshall.edu/cgi/viewcontent.cgi?article=1081&context=mjmperiodic lateralized epileptiform dischargesPLEDSHSV 2 PLEDSHerpes simplex virus type 2 PLEDSPLEDS HSVHSV2HSV-2 encephalitis PLEDS
spellingShingle Justin Chuang
Sona K. Shah
Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
Marshall Journal of Medicine
periodic lateralized epileptiform discharges
PLEDS
HSV 2 PLEDS
Herpes simplex virus type 2 PLEDS
PLEDS HSV
HSV2
HSV-2 encephalitis PLEDS
title Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
title_full Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
title_fullStr Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
title_full_unstemmed Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
title_short Herpes simplex virus type II in a patient having Periodic Lateralized Epileptiform Discharges
title_sort herpes simplex virus type ii in a patient having periodic lateralized epileptiform discharges
topic periodic lateralized epileptiform discharges
PLEDS
HSV 2 PLEDS
Herpes simplex virus type 2 PLEDS
PLEDS HSV
HSV2
HSV-2 encephalitis PLEDS
url https://mds.marshall.edu/cgi/viewcontent.cgi?article=1081&context=mjm
work_keys_str_mv AT justinchuang herpessimplexvirustypeiiinapatienthavingperiodiclateralizedepileptiformdischarges
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