AM.O Gorkhaly A. Poudel, Rewati Raman Ma


Acute viral encephalitis is due to direct invasion of the brain by virus with herpes simplex type 1 being most common. Here is a case being presented and treated as ischemic stroke, which after deterioration at the first Hospital, was diagnosed as Herpes Encephalitis at our Hospital. Despite the fact that, patient was critical and ICU care was given for more than 2 weeks and total hospital stay was around 2 months, after being treated with injection Acyclovir and steroids, patient recovered progressively. Now the patient is neurologically normal and is performing his day to day activities. Thus, there is need to evaluate for secondary causes when patient with stroke deteriorates despite of usual management.

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