INTERNATIONAL NEUROLOGICAL EMERGENCY SYMPOSIUM, 07 Aralık 2021
Background and Aim: Meningoencephalitis is an infection involvement both brain parenchimal tissue
and meninks.
Case: A 67-year diabetic woman admitted to the emergence clinic with complaints of conciousness,
fever and dizinnes. On physical examination, fever was 38.5 0C, general condition was poor.
Cooperation and orientation were not providing. Neck stifness was positive as meningeal irritation sign.
Lomber punction was made. In analysis of cerebro spinal fluid (CSF), there was 200 lymphocyte/mm3.
All biochemical parameters were normal. Mannitol and dexamethazone started as antiedema treatment.
Additionally, acyclovir given to the patient. In brain radiography, Frontal cortex atrophy was detected.
In CSF panel, enterovirus PCR was pozitive. Ayclovir discontinued. After a-10-day treatment the
patients discharged. All symptoms and signs improved, and discharged
Conclusion: Enterovirus are one of the most frequent causative agent for encephalitis. Enteroviral
encephalitis has good prognosis. Supportive treatment is sufficient in enteroviral encephalitis.
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