Basal ganglia involvement in herpes simplex encephalitis.
Indian J Pediatr
;
2009 Jul; 76(7): 749-750
Artículo
en Inglés
| IMSEAR
| ID: sea-142332
ABSTRACT
Herpes simplex encephalitis (HSE) is a leading cause of sporadic, nonepidemic viral encephalitis in children and adults. We report a very rare case of HSE with involvement of bilateral thalamus, putamen, upper pons and midbrain, with development of extrapyramidal symptoms which responded to corticosteroid therapy. A 15-mth-old female baby admitted with complaint of fever for 5 days and generalised tonic clonic seizure 10 hours before admission. On clinical examination patient was drowsy, temperature was 39.4 oC and vitals were stable with signs of increased intracranial tension. There were no signs of meningeal irritation. Patient gradually become unconscious in the next few hours and pupils were constricted bilaterally with development of atonia in all four limbs and neck muscles. Doll’s eye phenomenon was absent.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Antivirales
/
Fenitoína
/
Convulsiones
/
Enfermedades de los Ganglios Basales
/
Índice de Severidad de la Enfermedad
/
Femenino
/
Humanos
/
Imagen por Resonancia Magnética
/
Estudios de Seguimiento
/
Resultado del Tratamiento
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Idioma:
Inglés
Revista:
Indian J Pediatr
Año:
2009
Tipo del documento:
Artículo
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