Startle Seizures and Diffuse Leukoencephalopathy After Resolution of Herpes Simplex Virus 1 Encephalitis in a Child

A. C. Ng, J. Kassiri, H. Goez, F. Morneau-Jacob, J. Mailo
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Abstract

We describe a unique clinical presentation of a child after the acute phase of herpes simplex virus 1 (HSV1) encephalitis. A 17-month-old boy first presented with HSV1 encephalitis and was promptly treated with antiviral medication. Seven months later, he was re-admitted for startle seizures. Magnetic Resonance Imaging of the brain showed diffuse confluent leukoencephalopathy. This constellation of symptoms has not been previously reported in HSV1 encephalitis. In conclusion, we showed that brain injury due to HSV1 encephalitis can be associated with the development of startle seizures and diffuse white matter injury in the post-acute phase.
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儿童单纯疱疹病毒1型脑炎消退后首发发作和弥漫性白质脑病
我们描述了一个独特的临床表现的儿童后急性期单纯疱疹病毒1 (HSV1)脑炎。一名17个月大的男婴首次出现1型单纯疱疹病毒脑炎,并立即接受抗病毒药物治疗。7个月后,他因惊厥发作再次入院。脑磁共振成像显示弥漫性融合性脑白质病。这一系列症状以前在1型单纯疱疹病毒脑炎中未见报道。总之,我们发现HSV1脑炎引起的脑损伤可能与急性期后惊厥发作和弥漫性白质损伤的发生有关。
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