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Reactivation and centripetal spread of herpes simplex virus complicating acoustic neuroma resection.
- Source :
-
Surgical neurology [Surg Neurol] 2009 Nov; Vol. 72 (5), pp. 502-4. Date of Electronic Publication: 2009 Jul 23. - Publication Year :
- 2009
-
Abstract
- Background: Herpes simplex is a common human pathogen that has rare but severe manifestations including encephalitis.<br />Case Description: A 44-year-old man underwent uneventful resection of an acoustic neuroma. Postoperatively, he developed swinging pyrexia, vomiting, and episodic confusion. Analysis of cerebrospinal fluid showed a lymphocytosis, and polymerase chain reaction revealed herpes simplex DNA. After treatment of herpes encephalitis with acyclovir, the patient made a good recovery.<br />Conclusion: Herpes encephalitis is a rare complication of neurosurgical procedures, and the most likely etiology is reactivation of latent infection from manipulation of cranial nerves.
- Subjects :
- Acyclovir therapeutic use
Adult
Antiviral Agents therapeutic use
Consciousness Disorders virology
DNA, Viral analysis
Encephalitis, Herpes Simplex physiopathology
Encephalitis, Herpes Simplex virology
Facial Nerve surgery
Facial Nerve virology
Facial Nerve Diseases virology
Fever virology
Humans
Magnetic Resonance Imaging
Male
Neuroma, Acoustic pathology
Neurosurgical Procedures methods
Recurrence
Tomography, X-Ray Computed
Vestibulocochlear Nerve diagnostic imaging
Vestibulocochlear Nerve pathology
Vestibulocochlear Nerve surgery
Vomiting virology
Encephalitis, Herpes Simplex etiology
Facial Nerve Diseases complications
Neuroma, Acoustic complications
Neuroma, Acoustic surgery
Neurosurgical Procedures adverse effects
Simplexvirus genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1879-3339
- Volume :
- 72
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Surgical neurology
- Publication Type :
- Academic Journal
- Accession number :
- 19631366
- Full Text :
- https://doi.org/10.1016/j.surneu.2008.11.002