Postencephalitic Chronic Granulomatous Disease - 10/08/11
⁎ 
, M.J. Martinez Gonzalez, MD , A. Garcia Ribes, MD , R. Gaztañaga Expósito, MD †, F. García Bragado, MD ‡ Neuropediatric Unit, Hospital de Cruces, Vizcaya, Spain Communications should be addressed to: Dr. Prats; Department of Pediatrics; Pediatric Neurology; Cruces Hospital; Plaza de Cruces sn.; 48903 Vizcaya, Spain.Résumé |
This report details the evolution of a case of herpes simplex encephalitis to chronic granuloma in a 13-year old female who, at the age of 8, suffered herpes simplex virus type 1 encephalitis. Eight months later, she developed an intracranial hypertension syndrome with the onset of a new lesion in the necrosed zone of her right temporal lobe, with no viral presence in the cerebrospinal fluid. The histologic characteristics were those of chronic granuloma with multinucleated giant cells and calcifications. Initially treated for neurosarcoidosis, the patient remained steroid-dependent for 4 years and the steroids could only be withdrawn by treatment with Infliximab. This type of evolutive pattern has probably been completely overlooked until now; it can only be accurately diagnosed by biopsy. It was initially mistaken for neurosarcoidosis.
Le texte complet de cet article est disponible en PDF.Plan
Vol 35 - N° 4
P. 297-299 - octobre 2006 Retour au numéro
Article précédent
- Early Mitochondrial Dysfunction in an Infant With Alexander Disease
- Cristina Cáceres-Marzal, Julián Vaquerizo, Enrique Galán, Santiago Fernández
- Myostatin Expression in Muscular Dystrophies and Mitochondrial Encephalomyopathies
- Chad Markert, Martin K. Childers
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?