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Case of herpes simplex encephalitis(HSE) with a thalamic lesion

Abstract

A case of herpes simplex encephalitis (HSE) with thalamic involvement was reported. The patient, a 27-year-old man, was admitted because of abnormal behavior and fever. He exhibited a disturbance of consciousness, meningial signs, and hyperreflexia. A CT scan of the head revealed diffuse brain edema. Acute encephalitis, especially HSE, was suspected, and so the intravenous administration of acyclovir and steroid therapy were started. The titer of herpes simplex Type 1 virus, as measured by CF and ELISA, was found to have increased amounts of serum and cerebrospinal fluid. 5 days after the onset, his consciousness worsened. He could not tell his name and scarely opened his eyes upon pain stimulation. A CT scan at this time showed low-density lesions in the left thalamus, cingulate gyrus, and the posterior portion of the putamen. About 5 days later, his consciousness level was increased, but he was mute. This symptom was thought to be thalamic aphasia, which might be correlative with the low-density lesions shown in the left thalamus by the CT scan. About 30 days after the onset of the disease, his speech became normal, and a CT scan at 51 hospital days showed no abnormality. The etiology of low-density lesions of  More>>
Publication Date:
Feb 01, 1987
Product Type:
Journal Article
Reference Number:
JPN-87-060066; EDB-87-164999
Resource Relation:
Journal Name: CT Kenkyu; (Japan); Journal Volume: 9:1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BRAIN; CAT SCANNING; ENCEPHALITIS; DIAGNOSIS; HERPES SIMPLEX; INFECTIVITY; ADULTS; CONTRAST MEDIA; IMAGES; AGE GROUPS; BODY; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; INFECTIOUS DISEASES; NERVOUS SYSTEM; NERVOUS SYSTEM DISEASES; ORGANS; SKIN DISEASES; TOMOGRAPHY; VIRAL DISEASES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
6123573
Research Organizations:
Niigata Univ., Japan
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: CTKED
Submitting Site:
JPN
Size:
Pages: 81-86
Announcement Date:
Oct 01, 1987

Citation Formats

Fujimori, K, Koike, R, Yuasa, T, Miyatake, T, and Ito, J. Case of herpes simplex encephalitis(HSE) with a thalamic lesion. Japan: N. p., 1987. Web.
Fujimori, K, Koike, R, Yuasa, T, Miyatake, T, & Ito, J. Case of herpes simplex encephalitis(HSE) with a thalamic lesion. Japan.
Fujimori, K, Koike, R, Yuasa, T, Miyatake, T, and Ito, J. 1987. "Case of herpes simplex encephalitis(HSE) with a thalamic lesion." Japan.
@misc{etde_6123573,
title = {Case of herpes simplex encephalitis(HSE) with a thalamic lesion}
author = {Fujimori, K, Koike, R, Yuasa, T, Miyatake, T, and Ito, J}
abstractNote = {A case of herpes simplex encephalitis (HSE) with thalamic involvement was reported. The patient, a 27-year-old man, was admitted because of abnormal behavior and fever. He exhibited a disturbance of consciousness, meningial signs, and hyperreflexia. A CT scan of the head revealed diffuse brain edema. Acute encephalitis, especially HSE, was suspected, and so the intravenous administration of acyclovir and steroid therapy were started. The titer of herpes simplex Type 1 virus, as measured by CF and ELISA, was found to have increased amounts of serum and cerebrospinal fluid. 5 days after the onset, his consciousness worsened. He could not tell his name and scarely opened his eyes upon pain stimulation. A CT scan at this time showed low-density lesions in the left thalamus, cingulate gyrus, and the posterior portion of the putamen. About 5 days later, his consciousness level was increased, but he was mute. This symptom was thought to be thalamic aphasia, which might be correlative with the low-density lesions shown in the left thalamus by the CT scan. About 30 days after the onset of the disease, his speech became normal, and a CT scan at 51 hospital days showed no abnormality. The etiology of low-density lesions of the left thalamus in the CT scan is speculated to be as follows: firstly, vascular damage of circulation disturbance, and secondly a special affinity of herpes simplex Type 1 virus to the thalamus.}
journal = []
volume = {9:1}
journal type = {AC}
place = {Japan}
year = {1987}
month = {Feb}
}