Herpetic Meningoencephalitis After Vestibular Schwannoma Surgery: A Case Report
Author Information
Author(s): Jérôme Houdu, Maxime Barron, Thierry Civit, Cécile Parietti‐Winkler
Primary Institution: Centre Hospitalier Régional Universitaire de Nancy
Hypothesis
After surgery involving cranial nerves, non-bacterial meningitis should raise suspicion of herpes simplex virus type 1 reactivation.
Conclusion
The patient was successfully treated for HSV-1 meningoencephalitis with no lasting effects.
Supporting Evidence
- HSV-1 meningoencephalitis is the most common cause of sporadic encephalitis worldwide.
- Early diagnosis and treatment of HSV-1 meningoencephalitis are crucial due to high mortality rates.
- Polymerase chain reaction testing on cerebrospinal fluid is the gold standard for diagnosing HSV-1 meningoencephalitis.
Takeaway
A woman got sick with a virus after having brain surgery, but doctors quickly figured it out and helped her get better.
Methodology
The diagnosis was confirmed through PCR testing of cerebrospinal fluid after the patient developed symptoms post-surgery.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
58-year-old woman with a history of tobacco use and depressive disorder.
Digital Object Identifier (DOI)
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