Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00028832.xml
![](/products/assets/desktop/img/oa-logo.png)
CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2018; 37(03): 231-234
DOI: 10.1055/s-0036-1572505
DOI: 10.1055/s-0036-1572505
Case Report | Relato de Caso
Decompressive Craniectomy for Viral Encephalitis: Two Case Reports
Article in several languages: English | portuguêsFurther Information
Publication History
29 September 2015
23 November 2015
Publication Date:
16 February 2016 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028832/201803/lookinside/thumbnails/10-1055-s-0036-1572505_1500031_en-1.jpg)
Abstract
A decompressive craniectomy is a therapeutic modality not commonly used in cases of refractory intracranial hypertension due to viral encephalitis. In this article the authors present two cases of patients with viral encephalitis that have undergone decompressive craniectomy to control intracranial pressure. Both evolved with Glasgow outcome score of 4. The main clinical data for the surgical decision are Glasgow coma scale and the pupils of the patient associated with the imaging tests showing a large necrotic area and perilesional edema. The evolution of the patients undergoing decompression was satisfactory in 92.3% of cases.
-
References
- 1 Safain MG, Roguski M, Kryzanski JT, Weller SJ. A review of the combined medical and surgical management in patients with herpes simplex encephalitis. Clin Neurol Neurosurg 2015; 128: 10-16
- 2 Singhi P, Saini AG, Sahu JK. , et al. Unusual Clinical Presentation and Role of Decompressive Craniectomy in Herpes Simplex Encephalitis. J Child Neurol 2015; 30 (09) 1204-1207
- 3 Kannu P, Pinnock R. Uncommon complication of herpes simplex encephalitis. J Paediatr Child Health 2004; 40 (12) 711-713
- 4 Barnett GH, Ropper AH, Romeo J. Intracranial pressure and outcome in adult encephalitis. J Neurosurg 1988; 68 (04) 585-588
- 5 Taferner E, Pfausler B, Kofler A. , et al. Craniectomy in severe, life-threatening encephalitis: a report on outcome and long-term prognosis of four cases. Intensive Care Med 2001; 27 (08) 1426-1428
- 6 Whitley RJ. Herpes simplex encephalitis: adolescents and adults. Antiviral Res 2006; 71 (2-3): 141-148
- 7 Steiner I, Budka H, Chaudhuri A. , et al. Viral encephalitis: a review of diagnostic methods and guidelines for management. Eur J Neurol 2005; 12 (05) 331-343
- 8 Stula D, Müller HR, Lévy A. [Decompressive craniotomy in herpes simplex encephalitis]. Schweiz Med Wochenschr 1979; 109 (24) 914-916
- 9 Silva GMM. Encefalites Virais Agudas. Rev Prática Hosp Infectol 2005; 7 (40) 42-47
- 10 Kennedy PGE, Chaudhuri A. Herpes simplex encephalitis. J Neurol Neurosurg Psychiatry 2002; 73 (03) 237-238
- 11 Baringer Jr. Herpes simples virus infections of the nervous system. En: Vinken PJ, Bruyn GW. eds. Handbook of Clinical Neurology. Amsterdam: North-Holland Publishing Company; 1978: 145-159
- 12 Pérez-Bovet J, Garcia-Armengol R, Buxó-Pujolràs M. , et al. Decompressive craniectomy for encephalitis with brain herniation: case report and review of the literature. Acta Neurochir (Wien) 2012; 154 (09) 1717-1724
- 13 Bloch KC, Glaser C. Diagnostic approaches for patients with suspected encephalitis. Curr Infect Dis Rep 2007; 9 (04) 315-322
- 14 Tunkel AR, Glaser CA, Bloch KC. , et al; Infectious Diseases Society of America. The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2008; 47 (03) 303-327
- 15 Whitley RJ, Kimberlin DW. Herpes simplex encephalitis: children and adolescents. Semin Pediatr Infect Dis 2005; 16 (01) 17-23
- 16 Lahat E, Barr J, Barkai G, Paret G, Brand N, Barzilai A. Long term neurological outcome of herpes encephalitis. Arch Dis Child 1999; 80 (01) 69-71
- 17 Adamo MA, Deshaies EM. Emergency decompressive craniectomy for fulminating infectious encephalitis. J Neurosurg 2008; 108 (01) 174-176
- 18 Kirkham FJ, Neville BG. Successful management of severe intracranial hypertension by surgical decompression. Dev Med Child Neurol 1986; 28 (04) 506-509
- 19 Page LK, Tyler HR, Shillito Jr J. Neurosurgical experiences with herpes simplex encephalitis. J Neurosurg 1967; 27 (04) 346-352
- 20 Perin A, Nascimben E, Longatti P. Decompressive craniectomy in a case of intractable intracranial hypertension due to pneumococcal meningitis. Acta Neurochir (Wien) 2008; 150 (08) 837-842 , discussion 842