Houdu Jérôme, Barron Maxime, Civit Thierry, Parietti-Winkler Cécile
Department of Otorhinolaryngology Centre Hospitalier Régional Universitaire de Nancy, Hôpitaux de Brabois Vandœuvre-Lès-Nancy France.
Department of Neurosurgery Centre Hospitalier Régional Universitaire de Nancy, Hôpital Central Nancy France.
Clin Case Rep. 2025 Jan 2;13(1):e70050. doi: 10.1002/ccr3.70050. eCollection 2025 Jan.
After surgery involving cranial nerves and more generally the central nervous system, nonbacterial meningitis should raise suspicion of herpes simplex virus type 1 reactivation. No time should be wasted in diagnosis and treatment; therefore, a polymerase chain reaction testing on cerebrospinal fluid should be systematic in this situation, without neglecting to consider other differential diagnoses.
在涉及颅神经以及更广泛的中枢神经系统的手术后,非细菌性脑膜炎应引起对1型单纯疱疹病毒再激活的怀疑。在诊断和治疗上不应浪费时间;因此,在这种情况下,对脑脊液进行聚合酶链反应检测应成为常规操作,同时也不能忽视考虑其他鉴别诊断。