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可能由单纯疱疹病毒引起的慢性脑炎:两例报告

Chronic encephalitis possibly due to herpes simplex virus: two cases.

作者信息

Sage J I, Weinstein M P, Miller D C

出版信息

Neurology. 1985 Oct;35(10):1470-2. doi: 10.1212/wnl.35.10.1470.

DOI:10.1212/wnl.35.10.1470
PMID:4033928
Abstract

Two patients had clinical findings of encephalopathy that progressed in 4 to 5 months. One patient had headache, fatigue, lethargy, hemiparesis, and a seizure. The second patient had only forgetfulness, confusion, and lethargy without focal signs. Herpes simplex virus was grown from brain biopsy in the first patient and from CSF in the second patient. These cases suggest that herpes simplex virus caused the encephalitis and that it should be considered in the differential diagnosis of chronic encephalopathy.

摘要

两名患者出现脑病的临床症状,在4至5个月内病情进展。一名患者有头痛、疲劳、嗜睡、偏瘫和癫痫发作。第二名患者仅有健忘、意识模糊和嗜睡,无局灶性体征。在第一名患者的脑活检组织中培养出单纯疱疹病毒,在第二名患者的脑脊液中培养出该病毒。这些病例表明,单纯疱疹病毒导致了脑炎,在慢性脑病的鉴别诊断中应考虑到该病毒。

相似文献

1
Chronic encephalitis possibly due to herpes simplex virus: two cases.可能由单纯疱疹病毒引起的慢性脑炎:两例报告
Neurology. 1985 Oct;35(10):1470-2. doi: 10.1212/wnl.35.10.1470.
2
Herpes simplex virus encephalitis during childhood: importance of brain biopsy diagnosis.儿童期单纯疱疹病毒性脑炎:脑活检诊断的重要性
J Pediatr. 1985 Aug;107(2):212-5. doi: 10.1016/s0022-3476(85)80127-x.
3
[Neonatal encephalitis caused by herpes simplex: immunohistochemical diagnosis of a case].[单纯疱疹所致新生儿脑炎:1例免疫组化诊断]
Arq Neuropsiquiatr. 1993 Sep;51(3):377-81. doi: 10.1590/s0004-282x1993000300015.
4
[Herpes simplex encephalitis. A case report with support of the diagnosis by means of brain biopsy].[单纯疱疹性脑炎。一例经脑活检支持诊断的病例报告]
Schweiz Med Wochenschr. 1977 May 21;107(20):709-12.
5
Encephalitis due to simultaneous infection by herpes simplex and measles viruses.由单纯疱疹病毒和麻疹病毒同时感染引起的脑炎。
J Neurol Sci. 1971 Nov;14(3):315-23. doi: 10.1016/0022-510x(71)90220-6.
6
Induction of encephalitis in SJL mice by intranasal infection with herpes simplex virus type 1: a possible model of herpes simplex encephalitis in humans.
J Infect Dis. 1991 Apr;163(4):720-7. doi: 10.1093/infdis/163.4.720.
7
[Necrotic encephalitis due to herpes virus hominis (anatomo-clinical study of 3 cases)].人疱疹病毒所致坏死性脑炎(3例解剖临床研究)
Riv Neurobiol. 1978 Jul-Sep;24(3):208-23.
8
[Recurrent herpetic encephalitis].
Rev Neurol (Paris). 1990;146(6-7):450-4.
9
Early detection in suspected herpes simplex encephalitis.疑似单纯疱疹病毒性脑炎的早期检测
South Med J. 1984 Nov;77(11):1371-5. doi: 10.1097/00007611-198411000-00006.
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Biopsy histopathology in herpes simplex encephalitis and in encephalitis of undefined etiology.单纯疱疹性脑炎及病因不明性脑炎的活检组织病理学
Yale J Biol Med. 1984 Sep-Oct;57(5):751-5.

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Clinical, neuropathological, and immunological short- and long-term feature of a mouse model mimicking human herpes virus encephalitis.模拟人类疱疹病毒性脑炎的小鼠模型的临床、神经病理学和免疫学的短期和长期特征。
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In-hospital herpes simplex encephalitis after open heart surgery: an emerging pathology or an under-recognised condition?心脏直视手术后的医院内单纯疱疹性脑炎:一种新出现的病理情况还是一种未被充分认识的病症?
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Viral encephalitis: neuropsychiatric and neurobehavioral aspects.
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The role of laboratory investigation in the diagnosis and management of patients with suspected herpes simplex encephalitis: a consensus report. The EU Concerted Action on Virus Meningitis and Encephalitis.实验室检查在疑似单纯疱疹病毒性脑炎患者诊断和管理中的作用:一份共识报告。欧盟病毒性脑膜炎和脑炎联合行动。
J Neurol Neurosurg Psychiatry. 1996 Oct;61(4):339-45. doi: 10.1136/jnnp.61.4.339.
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Differentiation of herpes simplex virus 1 and 2 in cerebrospinal fluid of patients with HSV encephalitis and meningitis by stringent hybridization of PCR-amplified DNAs.通过对聚合酶链反应扩增的DNA进行严格杂交,鉴别单纯疱疹病毒1型和2型在疱疹性单纯病毒脑炎和脑膜炎患者脑脊液中的情况。
J Neurol. 1994 Aug;241(9):526-30. doi: 10.1007/BF00873514.