Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report)
We followed clinical and EEG examinations of two patients with herpes simplex encephalitis (HSE) in acute condition along with monitoring their early and late outcomes. Patients: M. B., 23-year-old female, who completed home treatment as a severe organic psycho-syndrome, reliant on nursing care, and...
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Russian Academy of Medical Sciences
2020-04-01
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doaj-8aa417d26a2340328789aabf18689de72021-07-28T21:21:57ZrusRussian Academy of Medical SciencesObŝaâ Reanimatologiâ1813-97792411-71102020-04-01162415110.15360/1813-9779-2020-2-41-511733Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report)Michal Drobný0Dušan Krkoška1Gabriela Sobolová2Martin Babušík3Silvia Učňová4Beata Drobná Sániová5Lenka Tulejová6Daniel Priadka7Comenius University in BratislavaComenius University in BratislavaComenius University in BratislavaComenius University in BratislavaComenius University in BratislavaComenius University in BratislavaComenius University in BratislavaAdamedWe followed clinical and EEG examinations of two patients with herpes simplex encephalitis (HSE) in acute condition along with monitoring their early and late outcomes. Patients: M. B., 23-year-old female, who completed home treatment as a severe organic psycho-syndrome, reliant on nursing care, and L. J., now 16-year-old female patient, whose HSE in the 3 rd year of her life went into auto-aggressive Rasmussen encephalitislike condition with epileptic status in the form of Epilepsia parcialis continua (EPC).The EEG signal was statistically processed using «power spectral analysis» with color maps 3D BM showing the performance of individual frequency bands topographically and the measurement of connectivity in longitudinal and transversal direction by means of the mean coherencies — indexes of connectivity.On the 9th year of L. J. life when she overcame varicella with a significant eruption of the skin and high temperature the highly active EEG patterns were attenuated both graphically and clinically with a significant reduction in focal epilepsy. The latter was affected by a total thiopentotal anesthesia and bolus corticotherapy, as well as amantadine sulphate.This patient exhibited central right lower limb mono-paresis in a selfstanding walk and 4–5 short myoclonic abduction cramps in arm joints associated with vocalized «hee-haw», deep inspiring and expiring in full consciousness. MRI proved hyperintense area parasagitally on the left side of the centromotor region and EEG with epileptogenic grapho-elements in adjacent scar. We compared the last sample of the EEG signal to the EEG patterns of her homozygous sister and found them identical with no pathological graphoelements.These patients survival was the result of continuing anti-viral treatment, intensive medical and nursing care aimed to protect neural cells in the brain, the effect of which was longitudinally monitored by classic and statistical EEG signal analysis.The late outcome of these patients was diametrically different. L. J. graduated from the 9-year primary school with good results. M. B. was progressively mobilized, despite the clinical signs of severe alterations of psychic sphere as a result of postencephalitic encephalopathy with insufficient response to neuroleptics and sedatives. After parents’ agreement received she was transferred to the regional hospital.https://www.reanimatology.com/rmt/article/view/1883eegencephalitispower spectral analysisbrain mappinghsv1hsv2herpes simplex encephalitis |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
Michal Drobný Dušan Krkoška Gabriela Sobolová Martin Babušík Silvia Učňová Beata Drobná Sániová Lenka Tulejová Daniel Priadka |
spellingShingle |
Michal Drobný Dušan Krkoška Gabriela Sobolová Martin Babušík Silvia Učňová Beata Drobná Sániová Lenka Tulejová Daniel Priadka Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) Obŝaâ Reanimatologiâ eeg encephalitis power spectral analysis brain mapping hsv1 hsv2 herpes simplex encephalitis |
author_facet |
Michal Drobný Dušan Krkoška Gabriela Sobolová Martin Babušík Silvia Učňová Beata Drobná Sániová Lenka Tulejová Daniel Priadka |
author_sort |
Michal Drobný |
title |
Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) |
title_short |
Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) |
title_full |
Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) |
title_fullStr |
Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) |
title_full_unstemmed |
Different Fate of Herpes Simplex Encephalitis (Clinical and EEG Cases Report) |
title_sort |
different fate of herpes simplex encephalitis (clinical and eeg cases report) |
publisher |
Russian Academy of Medical Sciences |
series |
Obŝaâ Reanimatologiâ |
issn |
1813-9779 2411-7110 |
publishDate |
2020-04-01 |
description |
We followed clinical and EEG examinations of two patients with herpes simplex encephalitis (HSE) in acute condition along with monitoring their early and late outcomes. Patients: M. B., 23-year-old female, who completed home treatment as a severe organic psycho-syndrome, reliant on nursing care, and L. J., now 16-year-old female patient, whose HSE in the 3 rd year of her life went into auto-aggressive Rasmussen encephalitislike condition with epileptic status in the form of Epilepsia parcialis continua (EPC).The EEG signal was statistically processed using «power spectral analysis» with color maps 3D BM showing the performance of individual frequency bands topographically and the measurement of connectivity in longitudinal and transversal direction by means of the mean coherencies — indexes of connectivity.On the 9th year of L. J. life when she overcame varicella with a significant eruption of the skin and high temperature the highly active EEG patterns were attenuated both graphically and clinically with a significant reduction in focal epilepsy. The latter was affected by a total thiopentotal anesthesia and bolus corticotherapy, as well as amantadine sulphate.This patient exhibited central right lower limb mono-paresis in a selfstanding walk and 4–5 short myoclonic abduction cramps in arm joints associated with vocalized «hee-haw», deep inspiring and expiring in full consciousness. MRI proved hyperintense area parasagitally on the left side of the centromotor region and EEG with epileptogenic grapho-elements in adjacent scar. We compared the last sample of the EEG signal to the EEG patterns of her homozygous sister and found them identical with no pathological graphoelements.These patients survival was the result of continuing anti-viral treatment, intensive medical and nursing care aimed to protect neural cells in the brain, the effect of which was longitudinally monitored by classic and statistical EEG signal analysis.The late outcome of these patients was diametrically different. L. J. graduated from the 9-year primary school with good results. M. B. was progressively mobilized, despite the clinical signs of severe alterations of psychic sphere as a result of postencephalitic encephalopathy with insufficient response to neuroleptics and sedatives. After parents’ agreement received she was transferred to the regional hospital. |
topic |
eeg encephalitis power spectral analysis brain mapping hsv1 hsv2 herpes simplex encephalitis |
url |
https://www.reanimatology.com/rmt/article/view/1883 |
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