A 10-year-old boy was referred to our institution with confusion, dysphagia, and difficulties in speaking and closing mouth. He was previously hospitalized for 3 weeks in rural hospital with four days of fever, headache, hemiparesis, and progressive behavioral change. Serological marker showed reactive IgM and IgG HSV antibodies. Electroencephalogram showed asymmetric wave with periodic lateralizing epileptiform discharged and frontotemporal focal deceleration. Cranial MRI images showed multiple lesion with rim enhancement in cortical, subcortical and white-matter of right temporal, parieto-occiptial bilateral, and operculum area. Thus,he was diagnosedwith severe HSE and intravenous acyclovir treatment was initiated. After 14 days of treatment and continued oral acyclovir, his swallowing functions were regenerated, and motoric function was improved.
|Title of host publication||Medical Case Reports|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||5|
|Publication status||Published - 14 Feb 2020|
- Behavioral changes
- Opercular syndrome