Document Detail

Early decompressive hemicraniectomy in fulminant herpes simplex encephalitis.
MedLine Citation:
PMID:  20882746     Owner:  NLM     Status:  MEDLINE    
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
N Maraite; F Mataigne; V Pieri; T Dang; N J Diederich
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Bulletin de la Société des sciences médicales du Grand-Duché de Luxembourg     Volume:  -     ISSN:  0037-9247     ISO Abbreviation:  Bull Soc Sci Med Grand Duche Luxemb     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-01     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503402     Medline TA:  Bull Soc Sci Med Grand Duche Luxemb     Country:  Luxembourg    
Other Details:
Languages:  eng     Pagination:  279-82     Citation Subset:  IM    
Department of Neurosciences, Centre Hospitalier de Luxembourg, Luxembourg-City, Luxembourg.
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MeSH Terms
Brain Edema / etiology,  radiography
Decompression, Surgical / methods*
Encephalitis, Herpes Simplex / surgery*
Follow-Up Studies
Tomography, X-Ray Computed
Treatment Outcome

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