RESUMO
Herpes virus reactivation is a well-known phenomenon rarely described in neurosurgery. We report a case of type 2 herpes simplex virus reactivation following neurosurgery of the posterior fossa. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis of over 200 x 10(6)/l. Viral reactivation should be considered in patients with fever, meningism and extended hospital admission following neurosurgical procedures.
Assuntos
Descompressão Cirúrgica/efeitos adversos , Encefalocele/cirurgia , Herpesvirus Humano 2/fisiologia , Parestesia/virologia , Rombencéfalo/virologia , Ativação Viral/fisiologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética , Parestesia/líquido cefalorraquidiano , Rombencéfalo/cirurgia , Resultado do TratamentoRESUMO
A 59-year-old patient had been treated by the general surgery department at her local hospital for a recurrent sebaceous cyst on the back of her neck. Cervical MRI showed a cystic structure, posterior to fused vertebral bodies, connected to the skin by a sinus passing through the middle of a split cord malformation. The lesion was excised via an anterior approach. Histology confirmed a benign neurenteric cyst. This rare developmental anomaly, mimicking a common acquired surgical condition, highlights the need for caution in the diagnosis of midline pathology.
