Effects of Decompressive Surgery on Prognosis and Cognitive Deficits in Herpes Simplex Encephalitis | Zendy

İpek Midi | Zendy; Neşe Tuncer | Zendy; Ahmet Midi | Zendy; Aynur Mollahasanoğlu | Zendy; Deniz Konya | Zendy; Aydın Sav | Zendy

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Effects of Decompressive Surgery on Prognosis and Cognitive Deficits in Herpes Simplex Encephalitis

Author(s) -

İpek Midi,

Neşe Tuncer,

Ahmet Midi,

Aynur Mollahasanoğlu,

Deniz Konya,

Aydın Sav

Publication year - 2007

Publication title -

behavioural neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.859

H-Index - 48

eISSN - 1875-8584

pISSN - 0953-4180

DOI - 10.1155/2007/534982

Subject(s) - encephalitis , neuropsychology , decompression , cognition , medicine , temporal lobe , surgery , intervention (counseling) , anesthesia , psychology , pediatrics , psychiatry , epilepsy , virus , virology

Herpes simplex encephalitis (HSE) is a serious viral infection with a high rate of mortality. The most commonly seen complications are behavioral changes, seizures and memory deficits. We report the case of a 37-year-old man with HSE in the right temporal lobe and a severe midline shift who was treated with acyclovir. The patient underwent anterior temporal lobe resection. Although HSE can cause permanent cognitive deficits, in this case, early surgical intervention minimized any deficit, as determined by detailed neuropsychological examination. Surgical decompression is indicated as early as possible in severe cases. This case report emphasizes the effect of surgical decompression for HSE on cognitive function, which has rarely been mentioned before.

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