单纯疱疹性脑炎合并迟发性颅内血肿1例
Fujian Medical Journal(2022)
Abstract
单纯疱疹性脑炎(herpes simplex encephalitis,HSE)是常见的中枢神经系统感染性疾病,在病因明确的脑炎中,单纯疱疹病毒感染占22%,20世纪70年代其病死率高达70%,近年来由于阿昔洛韦的广泛应用,使该病的病死率下降至20%~30%.单纯疱疹病毒主要侵犯颞叶、额叶和边缘叶脑组织,导致脑皮质和皮质下组织出血坏死性炎症反应.HSE并发颅内血肿少见,国外相关报道至今仅20余例[1-18],国内报道更少,仅3例[19-21];而出现迟发性多发颅内血肿更为罕见,现就本院诊断明确的1例HSE并发颅内血肿报告如下,以提高临床认识.
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