A Case of Herpes Encephalitis Occurring after Aneurysmal Coil Embolization
نویسندگان
چکیده
Objective: We report a case of herpes encephalitis that occurred after coil embolization of cerebral aneurysm. Case Presentation: A 66-year-old woman underwent stent-assisted coil embolization for the recurrence of basilar tip aneurysm. She was discharged to home but noted fever 30 days after the procedure, and as she developed disorientation and disturbance of consciousness, she consulted the outpatient clinic of our hospital. MRI showed abnormal signals mainly in the mesial right temporal lobe, and with a diagnosis of herpes encephalitis based on the cerebrospinal fluid (CSF) tap test, acyclovir drip infusion was performed. While disturbance of consciousness was resolved, disorientation and short-term memory loss persisted. Conclusion: There is a possibility that herpes encephalitis was induced by the intracranial endovascular procedure. Herpes encephalitis should be recognized as a possible complication after intracranial endovascular therapy.
منابع مشابه
Case report: Intra-procedural aneurysm rupture during endovascular treatment causing immediate, transient angiographic vasospasm.
INTRODUCTION Cerebral vasospasm is a major cause of delayed ischemic cerebral injury, typically occurring 3-14 days after subarachnoid hemorrhage (SAH). Ultra-early vasospasm is defined as angiographic vasospasm observed within 48 h of SAH onset. Immediate vasospasm at the time of aneurysmal rupture has been suspected, but has not been previously reported. We describe a case of immediate, trans...
متن کامل[Aneurysmal rupture during embolization with Guglielmi detachable coils].
OBJECTIVE The purpose of this study is to determinate the frequency, causes, management and outcome of aneurysmal rupture occurring during embolization. We present our experience with this severe and feared complication. METHODS We retrospectively reviewed 314 acute cerebral aneurysms that were treated with endovascular coiling. These patients were identified and the management and outcomes w...
متن کاملUsefulness of dynamic volume scanning with 320-row CT in detecting recanalization of pulmonary arteriovenous fistula after coil embolization
Pulmonary arteriovenous fistula is a congenital and rarely acquired anomalous direct communications between pulmonary arteries and veins. Transcatheter embolization using metallic coil or detachable balloon is one of the common treatment procedure. However, recanalization after the embolization is one of the concern and its differentiation from the retrograde filling via pulmonary vein is diffi...
متن کاملEndothelial Cell Proliferation in Swine Experimental Aneurysm after Coil Embolization
After coil embolization, recanalization in cerebral aneurysms adversely influences long-term prognosis. Proliferation of endothelial cells on the coil surface may reduce the incidence of recanalization and further improve outcomes after coil embolization. We aimed to map the expression of proliferating tissue over the aneurysmal orifice and define the temporal profile of tissue growth in a swin...
متن کاملUncommon Complications of Herpes Simplex Encephalitis in a 7 Year Old Child in Iran: A Case Report
HSV-induced encephalitis is one of the most common viral encephalitis in children with known signs and symptoms, including personality changes, fever, impaired consciousness and focal neurological deficits. Imaging findings also include temporal lobe and fronto-orbital involvement. In the present study, we present a 7-year-old girl diagnosed with HSV1-induced herpes encephalitis with unusual sy...
متن کامل