A case of herpes simplex encephalitis revealed by decompressive craniectomy

被引：17

作者：

Bayram, N. ^{[2
]}

Ciftdogan, D. Yilmaz ^{[1
,2
]}

Karapinar, B. ^{[2
]}

Ozgiray, E. ^{[3
]}

Polat, M. ^{[2
]}

Cagliyan, E. ^{[2
]}

Vardar, F. ^{[2
]}

机构：

[1] Uncubozkoy Mah Ozdel Apt, TR-45030 Uncubozkoy Manisa, Turkey

[2] Ege Univ, Fac Med, Dept Pediat, Izmir, Turkey

[3] Ege Univ, Fac Med, Dept Neurosurg, Izmir, Turkey

来源：

EUROPEAN JOURNAL OF PEDIATRICS | 2008年 / 167卷 / 07期

关键词：

herpes simplex encephalitis; increased intracranial pressure; decompression;

D O I：

10.1007/s00431-007-0566-0

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A 15-year-old girl was referred to our hospital due to fever, headache, and vomiting of 7 days duration and focal motor convulsion at the day of referral. Her clinical signs and cerebral imaging findings were found to be compatible with herpes simplex encephalitis. In spite of prompt acyclovir administration, her consciousness deteriorated gradually. Emergent cranial magnetic resonance imaging demonstrated a shift of midline intracranial structures. Decompressive surgery resulted in partial improvement in the shift of midline intracranial structures and potentially saved the patient's life. This case report stresses the importance of proper management of increased intracranial pressure in patients with herpes simplex encephalitis.

引用

页码：821 / 822

页数：2

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