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Herpes simplex encephalitis. Prognosis and long-term follow-up
Archives of Neurology
|January 1, 1975
Summary
Repetitive complexes on electroencephalograms (EEG) indicate a poor prognosis in herpes simplex encephalitis patients. Survivors showed no repetitive complexes, suggesting EEG
Area of Science:
- Neurology
- Clinical Neurophysiology
Background:
- Herpes simplex encephalitis (HSE) is a severe neurological condition.
- Prognostic indicators for HSE are crucial for patient management.
Purpose of the Study:
- To investigate the prognostic value of electroencephalograms (EEG) in herpes simplex encephalitis.
- To determine if specific EEG patterns correlate with patient outcomes.
Main Methods:
- Serial electroencephalograms (EEG) were recorded from 11 patients with confirmed HSE.
- EEG findings were correlated with patient survival and clinical status.
Main Results:
- Repetitive complexes were observed in patients with a fatal outcome.
- These repetitive complexes were absent in all surviving patients.
- Surviving patients exhibited transitory spike discharges with eventual return to normal EEG activity.
Conclusions:
- Electroencephalography (EEG) can serve as a valuable prognostic tool in herpes simplex encephalitis.
- The presence or absence of specific EEG patterns, like repetitive complexes, aids in predicting patient outcomes.