RESUMO
N-methyl-D-aspartate receptor antibodies (NMDAR-Abs) can contribute to neurological relapse after herpes simplex virus encephalitis (HSE). We describe a child with NMDAR-Ab encephalitis after HSE, which was recognized and treated early. We discuss the case in the context of existing reports, and we propose a modified immunotherapy strategy to minimize risk of viral reactivation.
Assuntos
Aciclovir/uso terapêutico , Encefalite Antirreceptor de N-Metil-D-Aspartato/complicações , Encefalite Antirreceptor de N-Metil-D-Aspartato/terapia , Encefalite por Herpes Simples/complicações , Encefalite por Herpes Simples/terapia , Terapia de Imunossupressão/métodos , Receptores de N-Metil-D-Aspartato/imunologia , Encefalite Antirreceptor de N-Metil-D-Aspartato/diagnóstico por imagem , Encefalite Antirreceptor de N-Metil-D-Aspartato/reabilitação , Antivirais/uso terapêutico , Autoanticorpos/imunologia , Clonidina/uso terapêutico , Diazepam/uso terapêutico , Encefalite por Herpes Simples/diagnóstico por imagem , Encefalite por Herpes Simples/reabilitação , Encefalomalacia/diagnóstico por imagem , Encefalomalacia/etiologia , Feminino , Febre/etiologia , Humanos , Hospedeiro Imunocomprometido/efeitos dos fármacos , Hospedeiro Imunocomprometido/imunologia , Lactente , Leucoencefalopatias/diagnóstico por imagem , Leucoencefalopatias/etiologia , Transtornos dos Movimentos/etiologia , Reabilitação Neurológica , Paquistão , Paresia/etiologia , Fenobarbital/uso terapêutico , Fenitoína/uso terapêutico , Plasmaferese , Convulsões/etiologia , Triexifenidil/uso terapêutico , Reino Unido , Ácido Valproico/uso terapêuticoRESUMO
The etiology of abnormal belching is not known. Currently, it is being subsumed under "functional gastroduodenal disorders." Here, we report the unusual case history of a patient who developed aerophagia and consecutive excessive belching in association with herpes simplex encephalitis. The case report adds to the limited information about potential organic geneses of belching. Implications for possible medical therapies are discussed.
Assuntos
Aerofagia/etiologia , Encefalite por Herpes Simples/complicações , Eructação/etiologia , Aerofagia/tratamento farmacológico , Idoso , Antipsicóticos/uso terapêutico , Encefalite por Herpes Simples/diagnóstico , Encefalite por Herpes Simples/reabilitação , Eructação/tratamento farmacológico , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Risperidona/uso terapêutico , Lobo Temporal/patologiaRESUMO
A number of memory rehabilitation techniques have targeted people with various degrees of memory impairments. However, few studies have shown the contribution of preserved non-declarative memory capacity and errorless learning in the treatment of amnesic patients. The current case report describes the memory rehabilitation of a 44-year-old man with amnesia following viral encephalitis. The patient's procedural memory capacity had an important role in the use of a motor imagery strategy to remember people's names. It was further demonstrated that the application of a verbal learning technique was helpful in recalling new verbal information. These different memory rehabilitation techniques are discussed in terms of alternative possibilities in the rehabilitation of amnesic patients.
Assuntos
Amnésia/etiologia , Amnésia/reabilitação , Terapia Cognitivo-Comportamental/métodos , Encefalite por Herpes Simples/complicações , Adulto , Amnésia/patologia , Amnésia/virologia , Encefalite por Herpes Simples/reabilitação , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Testes NeuropsicológicosRESUMO
The cognitive sequelae of encephalitis are well documented, and it is increasingly recognised that disorders of mood and anxiety can accompany these sequelae. Loss of identity is emerging as a key theme in psychotherapeutic interventions in adjustment following acquired brain injury (ABI). Cognitive-behavioural therapy can be applied to construct a new model of the self in the context of behavioural, cognitive and social sequelae of the ABI, with consideration of pre-illness identity. Behavioural experiments, in particular, may be an effective means of redefining the meaning of current situations to create a positive sense of self. In the current paper we describe the therapeutic intervention to address anxiety and changes in identity in a woman recovering from herpes simplex viral encephalitis. The intervention highlights the need to take into account the interplay between cognitive changes, such as memory and executive function, with emotion in adjustment following herpes simplex viral encephalitis.
