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.
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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.
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