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[Herpes simplex encephalitis with cerebral hemorrhage].

J Mallinger1, M Schmid, I S Neu

  • 1Neurologische Abteilung, Städtischen Krankenhauses Sindelfingen.

Deutsche Medizinische Wochenschrift (1946)
|January 15, 1987
PubMed
Summary
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Herpes simplex encephalitis can cause intracerebral bleeding, a rare but serious complication. This case highlights bleeding as a dominant feature, potentially linked to an arteriovenous angioma.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Herpes simplex encephalitis (HSE) is a severe viral infection of the brain.
  • Intracerebral bleeding is an uncommon presentation of HSE.
  • Computed tomography (CT) is a key diagnostic tool for brain imaging.

Observation:

  • A 20-year-old woman presented with HSE.
  • Intracerebral bleeding was the primary clinical and radiological finding on CT scans.
  • The bleeding occurred in the initial stages of the disease.

Findings:

  • CT scans revealed hypodense zones characteristic of HSE, with associated petechial hemorrhages.
  • Histological examination confirmed an arteriovenous angioma in the affected brain region.
  • The intracerebral bleeding was strongly suspected to be caused by inflammation associated with the arteriovenous angioma.

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Implications:

  • This case expands the understanding of potential complications in herpes simplex encephalitis.
  • It emphasizes the importance of considering vascular malformations like arteriovenous angiomas in HSE presentations with significant bleeding.
  • Early diagnosis and management of HSE with intracerebral bleeding are crucial for patient outcomes.