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In Vivo Imaging Systems IVIS Detection of a Neuro-Invasive Encephalitic Virus
Published on: December 2, 2012
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Herpes simplex virus encephalitis mimicking acute ischemic stroke
Ermir Roçi1, Stela Dodaj1, Gentian Vyshka2
1Department of Neurovascular Service, "Mother Teresa" University Medical Center, Tirana, Albania.
Surgical Neurology International
|March 10, 2023
Summary
Herpes virus encephalitis can mimic stroke symptoms, delaying diagnosis. Prompt recognition and antiviral treatment are crucial for favorable outcomes in these central nervous system infections.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Central nervous system infections can present acutely, mimicking stroke.
- This diagnostic challenge can delay appropriate and potentially successful treatment.
Observation:
- A case of herpes virus encephalitis initially presented as an ischemic cerebral accident in the emergency department.
- Unclear symptomatology and inconclusive initial findings prompted further investigation.
Findings:
- Magnetic resonance imaging (MRI) of the brain suggested an infectious etiology.
- Lumbar puncture confirmed herpes simplex virus (HSV) type 1.
- Antiviral therapy led to complete resolution within three weeks.
Implications:
- Herpes simplex virus (HSV) infections should be considered in the differential diagnosis of stroke-like presentations.
- Early diagnosis and prompt antiviral therapy in suspected herpetic encephalitis are vital for favorable neurological outcomes.
- Awareness of HSV encephalitis mimicking stroke is critical for clinicians managing acute neurological conditions, especially in febrile patients with suspicious or inconclusive brain imaging.
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