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Case Reports
. 2013 Sep;20(9):1318-9.
doi: 10.1016/j.jocn.2012.10.024. Epub 2013 Mar 18.

Vessel wall enhancement in herpes simplex virus central nervous system vasculitis

Waldo R Guerrero  1 , Haitham Dababneh, Shushrutha Hedna, James A Johnson, Keith Peters, Michael F Waters
Affiliations
Case Reports

Vessel wall enhancement in herpes simplex virus central nervous system vasculitis

Waldo R Guerrero et al. J Clin Neurosci. 2013 Sep.

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.

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