Ischemic and hemorrhagic stroke secondary to HSV-1 encephalitis

Authors

Fiorella Sotomayor Villanueva, University of MarylandFollow
Mounika Angirekula, Saint Agnes HospitalFollow
Martha Baker, Saint Agnes HospitalFollow

Author Credentials

Fiorella Sotomayor Villanueva - Department of Internal Medicine. Division of Endocrinology, Diabetes and Nutrition at University of Maryland. Baltimore MD

Mounika Angirekula - Department of Internal Medicine. Internal Medicine Residency Program. Baltimore MD

Martha Baker - Department of Internal Medicine. Academic Hospitalist. Baltimore MD

Abstract

Background HSV is the most common cause of encephalitis, and although rare, it can lead to cerebrovascular manifestations such as ischemia or hemorrhage, which can sometimes overlap. The mechanism behind cerebrovascular pathology is not well understood, and further research is needed to fully comprehend it.

Case Report A35-year-old patient that presented with AMS, focal deficit and meningeal signs. Patient was admitted with diagnosis of meningoencephalitis and lumbar puncture (LP) revealed Herpes simplex type 1. Given focal deficit, MRI of the brain was performed and showed presence of multifocal ischemic stroke with associated petechial hemorrhage. After being started on proper therapy, mental status returned to baseline and she no longer presented focal deficit.

Conclusion Herpes encephalitis, although rare, it can lead to cerebrovascular manifestations. Delay in diagnosis can lead to significant morbidity or even mortality.

Creative Commons License

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Recommended Citation

Sotomayor Villanueva F, Angirekula M, Baker M. Ischemic and hemorrhagic stroke secondary to HSV-1 encephalitis. Advances in Clinical Medical Research and Healthcare Delivery. 2022; 2(1). doi: 10.53785/2769-2779.1031.