A Case of Recurrent Herpes Simplex Virus Encephalitis

Kim, Yong-Sung; Kim, Jiah; Park, So-Hyun; Yoo, Il-Han; Ahn, Suk-Won

J Mult Scler > Volume 9(2); 2018 > Article

Case Report

Journal of Multiple Sclerosis 2018;9(2):38-40.
Published online September 1, 2018.

재발성 단순 헤르페스 바이러스 뇌염 환자의 증례

김용성, 김지아, 박소현, 유일한, 안석원

중앙대학교 의과대학 중앙대학교병원 신경과

A Case of Recurrent Herpes Simplex Virus Encephalitis

Yong-Sung Kim, Jiah Kim, So-Hyun Park, Il-Han Yoo, Suk-Won Ahn

Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea

Abstract

"We report a 39-year-old man with recurrent herpes simplex virus (HSV) encephalitis whose brain MRI revealed bilateral high signal intensity of the hippocampus despite administration of intravenousacyclovir for presumed herpes encephalitis. This case not only demonstrated unusual MRI findingsfor recurrent HSV encephalitis, but it also revealed that HSV encephalitis can relapse despite intravenousantiviral treatment. Therefore, close observation or sufficient duration of treatment is neededfor patients with HSV encephalitis. Journal of Multiple Sclerosis 9(2):38-40, 2018"

Key Words: Herpes simplex encephalitis, Hippocampus, Magnetic resonance imaging