医院获得性疱疹性脑炎：罕见但早期磁共振成像（MR）诊断后可治疗。
Nosocomial Herpes Encephalitis: rare but treatable with early MR diagnosis.
作者信息
Doshi P, Donovan Post M J, Saigal G, Podda A, Quencer R
机构信息
Department of Radiology, Jackson Memorial Hospital/University of Miami, 33132 Miami, FL, USA.
出版信息
Neuroradiol J. 2013 Apr;26(2):168-74. doi: 10.1177/197140091302600206. Epub 2013 May 10.
Abstract
Nosocomial/hospital acquired herpes encephalitis is rare and is usually undiagnosed in its early phase because of the non-specific clinical picture and low level of clinical and neuroimaging suspicion. There is a paucity of data in radiology literature for this entity, specifically in the settings of surgery and trauma. We describe two cases of nosocomial herpes simplex encephalitis to demonstrate the imaging clues that might lead to an early diagnosis of this disease.
摘要
医院获得性疱疹性脑炎较为罕见，由于其临床表现不具特异性，且临床及神经影像学怀疑程度较低，在疾病早期通常难以诊断。放射学文献中关于该疾病的数据较少，尤其是在手术和创伤背景下。我们描述两例医院获得性单纯疱疹性脑炎病例，以展示可能有助于早期诊断该疾病的影像学线索。
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Nosocomial Herpes Encephalitis: rare but treatable with early MR diagnosis.医院获得性疱疹性脑炎：罕见但早期磁共振成像（MR）诊断后可治疗。
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1
Herpes simplex virus reactivation and encephalitis after topectomy.颞叶切除术后单纯疱疹病毒激活与脑炎
J Pediatr Health Care. 2011 Sep-Oct;25(5):323-7. doi: 10.1016/j.pedhc.2011.02.005. Epub 2011 May 12.
2
CT and MRI findings of human herpesvirus 6-associated encephalopathy: comparison with findings of herpes simplex virus encephalitis.人疱疹病毒 6 相关性脑炎的 CT 和 MRI 表现：与单纯疱疹病毒脑炎表现的比较。
AJR Am J Roentgenol. 2010 Mar;194(3):754-60. doi: 10.2214/AJR.09.2548.
3
Herpes simplex encephalitis after craniopharyngioma surgery.颅咽管瘤手术后的单纯疱疹性脑炎。
J Neurosurg Pediatr. 2008 Nov;2(5):355-8. doi: 10.3171/PED.2008.2.11.355.
4
Herpes encephalitis after meningioma resection.脑膜瘤切除术后的疱疹性脑炎。
Neurology. 2005 Nov 22;65(10):1674-5. doi: 10.1212/01.wnl.0000184491.21252.9b.
5
Diffusion-weighted MRI in herpes simplex encephalitis: a report of three cases.
Neuroradiology. 2004 Feb;46(2):122-5. doi: 10.1007/s00234-003-1145-3. Epub 2004 Jan 28.
6
Postoperative herpes simplex virus encephalitis after neurosurgery: case report and review of the literature.神经外科手术后的单纯疱疹病毒性脑炎：病例报告及文献综述
Clin Infect Dis. 2003 Apr 1;36(7):e96-9. doi: 10.1086/368090. Epub 2003 Mar 18.
7
Herpes simplex encephalitis after brain surgery: case report and review of the literature.脑手术后的单纯疱疹病毒性脑炎：病例报告及文献复习
J Neurol Neurosurg Psychiatry. 1999 Aug;67(2):239-42. doi: 10.1136/jnnp.67.2.239.
8
Herpes simplex encephalitis and bilateral acute retinal necrosis syndrome after craniotomy.开颅术后的单纯疱疹病毒性脑炎和双侧急性视网膜坏死综合征
Am J Ophthalmol. 1998 Sep;126(3):456-60. doi: 10.1016/s0002-9394(98)00108-1.
9
Herpes simplex virus.
Infect Control. 1986 Jul;7(7):380-3. doi: 10.1017/s0195941700064511.
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