Reactivation of herpes virus after surgery for epilepsy in a pediatric patient with mesial temporal sclerosis: case report.

Abstract:

OBJECTIVE:This case report is presented to raise the awareness of the potential risk of reactivation of herpes simplex virus (HSV) encephalitis after intracranial surgery. CLINICAL PRESENTATION:The case of an 8-year-old male patient who suffered a reactivation of HSV encephalitis after undergoing amygdalohippocampectomy for complex partial seizures is reported. This patient had previously contracted HSV 1 meningoencephalitis at the age of 16 months. Six years later, a left amygdalohippocampectomy was proposed after the development of intractable partial epilepsy associated with left mesial temporal lesions. During the postoperative period, the patient suffered severe clinical deterioration with partial status epilepticus, aphasia, and hyperthermia, which resolved after intensive antiepileptic treatment supported by acyclovir. CONCLUSION:We advise prophylactic pre-, peri-, and postoperative treatment with acyclovir for patients with known histories of HSV encephalitis who undergo intracranial procedures.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Bourgeois M,Vinikoff L,Lellouch-Tubiana A,Sainte-Rose C

doi

10.1097/00006123-199903000-00106

keywords:

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

633-5; discussion 635-6

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

44

pub_type

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