AI Summary & Key Takeaways
AI InsightRoutine laboratory results are generally nonspecific.Here, we consider the present case worthy to be presented because we demonstrated for the first time thatherpes simplex encephalitis may manifest with isolated ninth cranial nerve palsy based on a patient, whopresented at the age of 27 years with dysphagia and loss of sense of taste, had MRI and EEG findings consistentwith herpes encephalitis, and improved with acyclovir therapy without complication.
📌 3 Key Takeaways
Abstract
Herpes simplex virus is the most common cause of acute sporadic viral encephalitis. Mortality is over 70% inuntreated cases. Clinical diagnosis of the disease is difficult. Routine laboratory results are generally nonspecific.Here, we consider the present case worthy to be presented because we demonstrated for the first time thatherpes simplex encephalitis may manifest with isolated ninth cranial nerve palsy based on a patient, whopresented at the age of 27 years with dysphagia and loss of sense of taste, had MRI and EEG findings consistentwith herpes encephalitis, and improved with acyclovir therapy without complication.
Özet
Herpes simpleks virusu akut, sporadik viral ensefalitlerin en sık tanımlanan etkenidir. Tedavi edilmeyen olgularda mortalite %70'in üzerindedir. Klinik olarak hastalığın tanısını koymak güçtür. Rutin laboratuvar sonuçları genellikle nonspesifiktir. Burada 27 yaşında yutamama ve tat alamama şikayeti ile başvuran, MRG ve EEG bulguları herpes ensefalitini destekleyen, asiklovir tedavisi ile komplikasyonsuz iyileşen, ilk defa izole dokuzuncu kranial sinir paralizisi ile de başvurabileceğini göstermiş olduğumuz için sunmaya değer bulduk.