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Herpes simplex encephalitis simulating systemic embolism.

H H Rotmensch, S Leventon-Kriss, J M Rabey

    Israel Journal of Medical Sciences
    |February 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

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    Herpes simplex virus encephalitis can mimic a stroke. This case highlights considering herpetic encephalitis in patients with cerebrovascular accident signs, especially with cardiac conditions.

    Area of Science:

    • Neurology
    • Infectious Diseases

    Background:

    • Cerebrovascular accidents (CVAs) are common, often stemming from cardiac embolism.
    • Herpes simplex virus (HSV) encephalitis is a serious neurological condition.

    Observation:

    • A patient with chronic atrial fibrillation presented with symptoms suggestive of a cerebral embolism.
    • Clinical presentation mimicked a typical cerebrovascular accident.

    Findings:

    • Diagnosis confirmed by detecting herpes simplex virus type 1 antibodies in cerebrospinal fluid and serum.
    • Patient recovered consciousness following craniotomy and antiviral treatment with idoxuridine.

    Implications:

    • Herpetic encephalitis should be included in the differential diagnosis for patients presenting with CVA symptoms.

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  • Early consideration of viral encephalitis can lead to timely and appropriate treatment.