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Ann Clin Neurophysiol > Volume 17(2); 2015 > Article
CASE REPORT
Ann Clin Neurophysiol. 2015; 17(2): 82-85.
Published online December 31, 2015.
doi: https://doi.org/10.14253/kjcn.2015.17.2.82
Asymptomatic Hematoma in Herpes Simplex Encephalitis
Soo Jin Song, Boo Suk Na, Jong Min Song, Ho Geol Woo, Dokyung Lee, and Tae-Beom Ahn
Department of Neurology, College of Medicine, Kyung Hee University, Seoul, Korea
Corresponding Author: Tae-Beom Ahn ,Tel: +82-2-958-8448, Fax: +82-2-958-8490, Email: ricash@hanmail.net
Received October 21, 2014    Accepted October 13, 2015
Copyright 2015 by The Korean Society of Clinical Neurophysiology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Key words: Herpes simplex virus, Meningoencephalitis, Acyclovir, Hematoma
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