Herpes simplex encephalitis (HSE) is a common form of viral encephalitis caused by the Herpes Simplex Virus-1 (HSV-1). Nearly two-thirds of all HSE cases are due to the reactivation of the virus. Various stress factors such as fever, trauma, immunosuppression, and having to undergo surgical intervention can trigger the reactivation of the virus. This article summarizes the case of a 72-year-old male contracting HSE after undergoing a craniotomy to remove a meningioma.
Case report A 72-year-old male with a history of HSV infection and double vision, progressively worsening for the past two years and drooping of the left eye CT scan: Lesion on the cavernous sinus indicative of a meningioma Lesion covered the middle and the ipsilateral anterior cerebral artery extending to the anterior clinoid process. The lesion was pressing on the cranial nerves (CN) II and III. MRI revealed the mass…