Decompressive Craniectomy for Intracerebral Hemorrhage Complicating Herpetic Meningoencephalitis: A Case Report

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Published Jul 29, 2023
DOI: https://doi.org/10.18103/mra.v11i7.2.4267

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Main Article Content

Meryem Rafya
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.
Yassine Bou-ouhrich
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.
Mustapha Ezahiri
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.
Rim Echchafi
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.
Fatima Zahra Ouamer
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.
Boubaker Charra
Department of Intensive Care Medicine, Ibn Rochd University Hospital, Faculty of medicine and Pharmacy of Casablanca, Hassan 2 University, Casablanca, Morocco.

Abstract

Herpetic encephalitis is the most common viral encephalitis in adults and is the most severe form of   herpes simplex virus infection. The diagnosis is based on polymerase chain reaction in cerebrospinal fluid, as well as brain magnetic resonance imaging. Although intra cerebral petechial hemorrhage has been described during herpetic encephalitis, intraparenchymal cerebral hematoma is an extremely rare form.


The absence of response to treatment or the worsening of clinical symptoms should suspect the diagnosis. The medical treatment is based on acyclovir which should be initiated as soon as the diagnosis is suspected. Surgical treatment is based on decompressive craniotomy.


Herein, we report the case of a 62-year-old man in whom the diagnosis of herpetic encephalitis was confirmed, and the patient was put on acyclovir-based medical treatment. The follow-up was marked by the appearance of an intra-parenchymal hematoma for which the patient had a decompressive craniotomy. The evolution was marked by neurological worsening leading to the death of the patient.

Keywords: Herpetic meningoencephalitis, Intracerebral hemorrhage, Craniectomy, Intensive care

Article Details

How to Cite
RAFYA, Meryem et al. Decompressive Craniectomy for Intracerebral Hemorrhage Complicating Herpetic Meningoencephalitis: A Case Report. Medical Research Archives, [S.l.], v. 11, n. 7.2, july 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4267>. Date accessed: 05 may 2024. doi: https://doi.org/10.18103/mra.v11i7.2.4267.
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Issue
Vol 11 No 7.2 (2023): July Issue, Vol.11, Issue 7.2
Section
Case Reports

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