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KMID : 0861220150170010082
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Journal of the Korean Society Clinical Neurophysiology
2015 Volume.17 No. 1 p.82 ~ p.85
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Asymptomatic Hematoma in Herpes Simplex Encephalitis
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Song Soo-Jin
Na Boo-Suk
Song Jong-Min
Woo Ho-Geol
Lee Do-Kyung
Ahn Tae-Beom
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Abstract
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A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.
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KEYWORD
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Herpes simplex virus, Meningoencephalitis, Acyclovir, Hematoma
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