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Asymptomatic Hematoma in Herpes Simplex Encephalitis

단순헤르페스뇌염에서 무증상 혈종

  • Song, Soo Jin (Department of Neurology, College of Medicine, Kyung Hee University) ;
  • Na, Boo Suk (Department of Neurology, College of Medicine, Kyung Hee University) ;
  • Song, Jong Min (Department of Neurology, College of Medicine, Kyung Hee University) ;
  • Woo, Ho Geol (Department of Neurology, College of Medicine, Kyung Hee University) ;
  • Lee, Dokyung (Department of Neurology, College of Medicine, Kyung Hee University) ;
  • Ahn, Tae-Beom (Department of Neurology, College of Medicine, Kyung Hee University)
  • 송수진 (경희대학교 의과대학 신경과학교실) ;
  • 나부석 (경희대학교 의과대학 신경과학교실) ;
  • 송종민 (경희대학교 의과대학 신경과학교실) ;
  • 우호걸 (경희대학교 의과대학 신경과학교실) ;
  • 이도경 (경희대학교 의과대학 신경과학교실) ;
  • 안태범 (경희대학교 의과대학 신경과학교실)
  • Received : 2014.10.21
  • Accepted : 2015.10.13
  • Published : 2015.12.31

Abstract

A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.

Keywords

References

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