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Unusual Clinical Presentation and Role of Decompressive Craniectomy in Herpes Simplex Encephalitis.

Abstract
Decompressive craniectomy in pediatric central nervous infections with refractory intracranial hypertension is less commonly practiced. We describe improved outcome of decompressive craniectomy in a 7-year-old boy with severe herpes simplex encephalitis and medically refractory intracranial hypertension, along with a brief review of the literature. Timely recognition of refractory intracranial hypertension and surgical decompression in children with herpes simplex encephalitis can be life-saving. Additionally, strokelike atypical presentations are being increasingly recognized in children with herpes simplex encephalitis and should not take one away from the underlying herpes simplex encephalitis.
AuthorsPratibha Singhi, Arushi Gahlot Saini, Jitendra Kumar Sahu, Nuthan Kumar, Sameer Vyas, Rakesh Kumar Vasishta, Ashish Aggarwal
JournalJournal of child neurology (J Child Neurol) Vol. 30 Issue 9 Pg. 1204-7 (Aug 2015) ISSN: 1708-8283 [Electronic] United States
PMID25156666 (Publication Type: Case Reports, Journal Article)
Copyright© The Author(s) 2014.
Topics
  • Brain (diagnostic imaging)
  • Child
  • Decompressive Craniectomy (methods)
  • Encephalitis, Herpes Simplex (surgery)
  • Humans
  • Male
  • Radiography
  • Tomography Scanners, X-Ray Computed

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