Rao N, Costa J L
Marianjoy Rehabilitation Center, Wheaton, Illinois.
Am J Phys Med Rehabil. 1991 Apr;70(2):73-5. doi: 10.1097/00002060-199104000-00004.
Patients with Herpes simplex encephalitis often are considered to be poor rehabilitation candidates because of their multiple deficits and grave prognosis. This report presents case reports on three patients with biopsy-proven Herpes simplex encephalitis, all of whom were treated with acyclovir in acute care and then admitted to an inpatient rehabilitation program. All had multiple brain lesions with minimal motor findings but cognitive and communication deficits. One patient, two weeks after admission, slipped into a coma and was transferred to an acute care hospital where he subsequently expired. The other two made useful functional gains and were discharged home in two weeks and 10 weeks, suggesting that a trial of rehabilitation may be warranted after Herpes simplex encephalitis.
单纯疱疹性脑炎患者常因存在多种功能缺陷及预后不良而被认为不适合康复治疗。本报告介绍了3例经活检证实为单纯疱疹性脑炎患者的病例，所有患者在急性治疗期均接受了阿昔洛韦治疗，随后进入住院康复项目。所有患者均有多处脑损伤，运动功能障碍轻微，但存在认知和沟通缺陷。其中1例患者在入院两周后陷入昏迷，被转至急性护理医院，随后死亡。另外2例患者功能得到有效改善，分别于两周和十周后出院回家，这表明单纯疱疹性脑炎后进行康复治疗可能是必要的。
