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KMID : 1201420110040020056
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Journal of Neurocritical Care
2011 Volume.4 No. 2 p.56 ~ p.59
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Maternal Herpes Simplex Encephalitis during Pregnancy
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Lee Jin-Hyung
Kim Meyung-Kug
Yoo Bong-Goo
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Abstract
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Background: Herpes simplex virus type 1 encephalitis rarely occurs during pregnancy, and the risk of initial misdiagnosis is high.
Case Report: A pregnant 26-year-old woman at 26 weeks’ gestation was admitted due to headache, fever and memory impairment. Cerebrospinal fluid polymerase chain reaction for herpes simplex virus type 1 was positive. Brain MRI show abnormal signal intensity in the left temporal lobe. Prompt intravenous acyclovir and steroid treatment was given, and outcome were good for mother and fetus.
Conclusion: Early diagnostic suspicion and prompt treatment for maternal herpes simplex encephalitis is essential to improve outcome and reduce mortality.
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KEYWORD
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Herpes simplex encephalitis, Pregnancy, MRI
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