Bilateral Medial Temporal Hematomas as a Rare Complication of HSV-1 Encephalitis

J Korean Neurol Assoc > Volume 26(2); 2008 > Article

Journal of the Korean Neurological Association 2008;26(2): 136-138.

Herpes 뇌염 합병증으로 발생한 양측 내측두엽 혈종

강봉희, 안진영a 권순억

울산대학교 의과대학 서울아산병원 신경과, 서울의료원a

Bilateral Medial Temporal Hematomas as a Rare Complication of HSV-1 Encephalitis

Bong Hui Kang

Department of Neurology, Asan Medical Center, Ulsan University, Collage of Medicine, Seoul, Korea Department of Neurologya, Seoul medical Center, Seoul, Korea

Abstract

Herpes simplex encephalitis (HSE) is the most common form of encephalitis, with predilection for the temporal lobes and insular cortex. The presence of RBCs is a characteristic finding of CSF analysis and hemorrhagic transformation of the lesions on CT or MRI is not a rare, because the hemorrhagic necrosis is an important pathologic finding of HSE. However, intracerebral hematoma is rarely reported. We report a case of PCR proven HSE with hemotomas in both the medial temporal lobes, which has not been reported.KeyWords:Herpes simplex encephalitis, Intracerebral hematoma, Complication