Skip to main content
  • 151 Accesses

Abstract

Encephalitis is the inflammation of the brain parenchyma resulting in neurological symptoms, with infectious etiologies being common. Herpes encephalitis is the most common cause of fatal encephalitis all around the world. Herpes viruses are the enveloped DNA viruses, out of which herpes simplex 1 has been found to be the most common sporadic cause. The clinical manifestations are usually altered sensorium, fever, headache, seizure, and focal neurologic symptoms. Despite treatment, HSV-1 encephalitis has high mortality and mortality with cognitive and other focal neurological sequelae.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kennedy PGE, Chaudhuri A. Herpes simplex encephalitis. J Neurol Neurosurg Psychiatry. 2002;73:237–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Hjalmarsson A, Blomqvist P, Sköldenberg B. Herpes simplex encephalitis in Sweden, 1990-2001: incidence, morbidity, and mortality. Clin Infect Dis Off Publ Infect Dis Soc Am. 2007;45(7):875–80.

    Article  Google Scholar 

  3. George BP, Schneider EB, Venkatesan A. Encephalitis hospitalization rates and inpatient mortality in the United States, 2000-2010. PLoS One. 2014;9(9):e104169.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Berger JR, Houff S. Neurological complications of herpes simplex virus type 2 infection. Arch Neurol. 2008;65(5):596–600.

    Article  PubMed  Google Scholar 

  5. Dudgeon JA. Herpes encephalitis II. Pathology of herpes encephalitis. Postgrad Med J. 1969;45(524):386–91.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Ma Y, He B. Recognition of herpes simplex viruses: toll-like receptors and beyond. J Mol Biol. 2014;426(6):1133–47. 2013/11/19 ed.

    Article  CAS  PubMed  Google Scholar 

  7. Shukla ND, Tiwari V, Valyi-Nagy T. Nectin-1-specific entry of herpes simplex virus 1 is sufficient for infection of the cornea and viral spread to the trigeminal ganglia. Mol Vis. 2012;18:2711–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Mori I, Nishiyama Y, Yokochi T, Kimura Y. Olfactory transmission of neurotropic viruses. J Neurovirol. 2005;11(2):129–37.

    Article  PubMed  Google Scholar 

  9. Jennische E, Eriksson CE, Lange S, Trybala E, Bergström T. The anterior commissure is a pathway for contralateral spread of herpes simplex virus type 1 after olfactory tract infection. J Neurovirol. 2015;21(2):129–47.

    Article  CAS  PubMed  Google Scholar 

  10. Bradshaw MJ, Venkatesan A. Herpes simplex Virus-1 encephalitis in adults: pathophysiology, diagnosis, and management. Neurother J Am Soc Exp Neurother. 2016;13(3):493–508.

    CAS  Google Scholar 

  11. Benjamin MM, Gummelt KL, Zaki R, Afzal A, Sloan L, Shamim S. Herpes simplex virus meningitis complicated by ascending paralysis. Proc Bayl Univ Med Cent. 2013;26(3):265–7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Sellner J, Trinka E. Seizures and epilepsy in herpes simplex virus encephalitis: current concepts and future directions of pathogenesis and management. J Neurol. 2012;259(10):2019–30.

    Article  PubMed  Google Scholar 

  13. Armangue T, Moris G, Cantarín-Extremera V, Conde CE, Rostasy K, Erro ME, et al. Autoimmune post-herpes simplex encephalitis of adults and teenagers. Neurology. 2015;85(20):1736–43. 2015/10/21 ed.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Steiner I, Schmutzhard E, Sellner J, Chaudhuri A, Kennedy PGE. EFNS-ENS guidelines for the use of PCR technology for the diagnosis of infections of the nervous system. Eur J Neurol. 2012;19(10):1278–91.

    Article  CAS  PubMed  Google Scholar 

  15. Jayaraman K, Rangasami R, Chandrasekharan A. Magnetic resonance imaging findings in viral encephalitis: a pictorial essay. J Neurosci Rural Pract. 2018;9(4):556–60.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Illis LS, Taylor FM. The electroencephalogram in herpes-simplex encephalitis. Lancet. 1972;1(7753):718–21.

    Article  CAS  PubMed  Google Scholar 

  17. Chow F. Brain and spinal epidural abscess. Contin Lifelong Learn Neurol. 2018;24(5, Neuroinfectious Disease):1327–48.

    Article  Google Scholar 

  18. Tunkel AR, Glaser CA, Bloch KC, Sejvar JJ, Marra CM, Roos KL, et al. The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis Off Publ Infect Dis Soc Am. 2008;47(3):303–27.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ojha, R. (2024). Herpes Encephalitis. In: Oli, K.K., Shrestha, G.S., Ojha, R., Pal, P.K., Pandey, S., Das, B. (eds) Case-based Approach to Common Neurological Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-99-8676-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-8676-7_2

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-8675-0

  • Online ISBN: 978-981-99-8676-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics