The neurologist · 2005
Herpes simplex encephalitis. Is anticoagulation safe?
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Jabbour Pascal M, Ojemann Steven G
Аннотация
BACKGROUND: Herpes simplex encephalitis (HSE) still carries a high morbidity and mortality.
REVIEW SUMMARY: The authors report a 27-year-old patient who presented with an HSE manifested by a high temperature, seizures, and headaches. His hospitalization course was complicated by a pulmonary embolism. After anticoagulation was started, the patient developed a right temporal hematoma at the same region of the abnormal signal on magnetic resonance imaging. The patient underwent a craniotomy and evacuation of the hematoma with an uneventful postoperative outcome.
CONCLUSION: The safety of anticoagulation in HSE has not been raised in the literature previously, and it needs further study.
REVIEW SUMMARY: The authors report a 27-year-old patient who presented with an HSE manifested by a high temperature, seizures, and headaches. His hospitalization course was complicated by a pulmonary embolism. After anticoagulation was started, the patient developed a right temporal hematoma at the same region of the abnormal signal on magnetic resonance imaging. The patient underwent a craniotomy and evacuation of the hematoma with an uneventful postoperative outcome.
CONCLUSION: The safety of anticoagulation in HSE has not been raised in the literature previously, and it needs further study.