Decompressive craniectomy in herpes simplex encephalitis: a case report
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Date
2020-07
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Herpes Simplex Encephalitis is the commonest form of sporadic encephalitis. Availability of effective antiviral therapy viz Acyclovir has significantly reduced the mortality of Herpes Simplex Encephalitis. Elevated intracranial pressure resulting in herniation syndromes continues to be an important cause of mortality. Antiviral therapy and medical measures for managing raised intracranial pressure including osmotic diuretics, careful usage of steroids and controlled hyperventilation continue to be the cornerstones in management of these patients. Authors present a 38-year-old male patient with Cerebrospinal fluid Meningo-encephalitic panel positivity for herpes simplex virus 1 and bilateral temporal lobe lesions with secondary decline due to impending herniation syndrome despite osmotic diuretics and steroids with patient survival and complete recovery following decompressive hemicraniectomy.
Description
Keywords
Encephalitis, Hemicraniectomy, Herpes simplex
Citation
Suri Vinit, Jain Swapnil, Naga Mohit Kalangi Venkata, Tyagi Sudheer, Bhati Aditendraditya Singh, Suri Kanika. Decompressive craniectomy in herpes simplex encephalitis: a case report. International Journal of Research in Medical Sciences. 2020 Jul; 8(7): 2705-2707