RESUMEN
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
Asunto(s)
Descompresión Quirúrgica/métodos , Encefalitis por Herpes Simple/cirugía , Anciano , Edema Encefálico/diagnóstico por imagen , Edema Encefálico/etiología , Cognición , Femenino , Estudios de Seguimiento , Marcha , Humanos , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Herpes encephalitis can be a life-threatening condition, despite early instauration of acyclovir treatment. In particular patients may succumb to rapidly progressive cerebral oedema. We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day. Decompressive hemicraniectomy was immediately performed. The long-term outcome was satisfactory with unassisted gait and a Barthel Index score of 70 after 9 months.
Asunto(s)
Craniectomía Descompresiva , Encefalitis por Herpes Simple/cirugía , Anciano , Femenino , Estudios de Seguimiento , Escala de Coma de Glasgow , Humanos , Obesidad/complicaciones , Resultado del TratamientoRESUMEN
We present the case of a 70-year-old patient presented to our institution for paresthesia of the right hemiface associated with dysarthria in aggravation since 1 year. He was diagnosed with right trigeminal melanoma metastasis. This case is characterized by a thickening of the right trigeminal nerve from his cisternal segment to his mandibular branch V3. MRI demonstrated an intensive perineural spread by a melanotic melanoma.