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Recurrent herpes zoster encephalitis: A case report

✍ Scribed by Pippa Medcalf; Angus Windsor

Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
250 KB
Volume
6
Category
Article
ISSN
0885-6230

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✦ Synopsis

An 89-year-old lady presented with severe right-sided ophthalmic herpes zoster infection and secondary bacterial infection. Two weeks after admission she became very unwell with confusion and drowsiness and later developed bilateral upgoing plantar reflexes. An EEG was highly suggestive of herpes encephalitis and she made a good recovery with acyclovir. Neuropsychological tests showed pathological signs of impaired left temporal lobe function. After a further three weeks she again developed symptoms and signs of herpes zoster encephalitis and a repeat CT scan showed a right internal capsule infarct had developed. Encephalitis after herpes zoster infection is a rare complication but possibly underreported due to difficulties in diagnosis.

KEY woms-Herpes zoster, encephalitis.

πŸ“œ SIMILAR VOLUMES

Ophthalmic herpes zoster with contralate
Ophthalmic herpes zoster with contralateral hemiparesis: a case report
✍ F. Federico; D. Pedone; P. Lamberti; P. Achille; M. Camicia; A. Carella; E. Ferr πŸ“‚ Article πŸ“… 1982 πŸ› Springer 🌐 English βš– 965 KB

Herpes zoster of the ophthalmic division of the left fifth cranial nerve with contralateral hemiparesis was observed in a 30-year-old man. Left carotid angiography showed segmental constrictions consistent with cerebral arteritis, possibly provoked by direct viral infection along the intracranial pa