Vessel wall enhancement in herpes simplex virus central nervous system vasculitis

Document Type

Article

Abstract

Infection is a well-known cause of cerebral vasculopathy and vasculitis. We report a 36-year-old woman with cerebral vasculitis and ischemic stroke secondary to herpes simplex virus (HSV). MRI studies revealed a pontine stroke with basilar artery stenosis and vessel wall gadolinium enhancement. This case demonstrates the ability of HSV to cause a focal brainstem vasculitis and the utility of enhanced MRI in the diagnosis of stroke related to HSV central nervous system vasculitis.

Keywords

Herpes simplex virus, Imaging, Meningitis, Vasculitis

Medical Subject Headings

Adult; Basilar Artery (pathology, virology); Female; Herpes Simplex (complications, diagnosis); Humans; Simplexvirus (pathogenicity); Vasculitis, Central Nervous System (complications, diagnosis, virology)

Publication Date

9-1-2013

Publication Title

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

E-ISSN

1532-2653

Volume

20

Issue

9

First Page

1318

Last Page

9

PubMed ID

23517674

Digital Object Identifier (DOI)

10.1016/j.jocn.2012.10.024

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