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Brainstem Lesions in Herpes Encephalitis [Turk J Neurol]
Turk J Neurol. 2010; 16(4): 211-214

Brainstem Lesions in Herpes Encephalitis

Gülçin Benbir1, Baki Göksan1, Naci Koçer2
1Cerrahpasa Faculty Of Medicine, Department Of Neurology, Istanbul, Turkey
2Cerrahpasa Faculty Of Medicine, Department Of Radiology, Istanbul, Turkey

Herpes simplex encephalitis typically involves the medial temporal and inferior frontal lobes; brainstem lesions are very unusual. We present a 42-year-old woman admitted with delirium and diagnosed as herpes simplex encephalitis. The patient had gadolinium-enhancing inferior frontal and pontine lesions on magnetic resonance imagings. The patient was successfully treated without any neurologic sequelae, though contrast-enhancement was still present. This case report emphasizes that herpes simplex encephalitis should be investigated in the differential diagnosis of brainstem lesions. Moreover, contrast-enhancement may persist for some months even after clinical improvement.

Keywords: Encephalitis, herpes simplex, brain stem.


Gülçin Benbir, Baki Göksan, Naci Koçer. Brainstem Lesions in Herpes Encephalitis. Turk J Neurol. 2010; 16(4): 211-214

Corresponding Author: Gülçin Benbir, Türkiye


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