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Post Herpetic Basal Ganglia Stroke in an Adolescent Girl: Brief Review of Literature and a Case Report

Year: 2024

Type: article

Abstract: Herpes simplex encephalitis (HSE) is a leading cause of sporadic, non-epidemic viral encephalitis in children and adults. We report a very rare case of HSE complicated by multiple ischaemic infarcts involving both basal ganglia in a 15-year-old female adolescent admitted with complaints of headache and fever, irrational behavior and seizures. On clinical examination patient was unconscious with signs of raised intracranial pressure, right hemiparesis and meningeal irritation. She had elevated temperature (38.7°C), and anaemia (packed cell volume of 25.0%). Magnetic resonance imaging showed features of Multiple non-enhancing hypodensities in both basal ganglia with mild dilation of the 3rd and lateral ventricles. She was managed as a case of Post-encephalitis Basal ganglia stroke. The patient subsequently developed a repeat vascular event, with suspected haemorrhagic transformation after 4 weeks and succumbed to the illness.

Source: Cognizance Journal of Multidisciplinary Studies

DOI: 10.47760/cognizance.2024.v04i08.009

Authors: Izehiuwa Gertrude Enato, Paul Ehiabhi Ikhurionan

Institutions: Edo State University Uzairue, University of Benin, University of Benin Teaching Hospital

Language: English

Topic: Infectious Encephalopathies and Encephalitis

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4402151311

FWCI:

Cites: 8

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Related to: 10