Abstract
Herpes simplex infection of the CNS may occur as part of a generalized infection with visceral involvement or with the CNS alone involved. Aseptic meningitis due to herpes simplex is rare, but necrotizing encephalitis is being recognized with increasing frequency.
The distribution of lesions within the CNS and the mode of spread to and within the CNS are discussed.
Serological tests indicate that some cases are due to primary infection and others due to re-activation.
The importance of early diagnosis by electron and fluorescence microscopy and virus culture are discussed.
The natural history and pathogenesis of herpes simplex and B virus are discussed.
Full text
PDF





Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adams J. H., Jennett W. B. Acute necrotizing encephalitis: a problem in diagnosis. J Neurol Neurosurg Psychiatry. 1967 Jun;30(3):248–260. doi: 10.1136/jnnp.30.3.248. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Blackwood W., Dudgeon J. A., Newns G. H., Phillips B. M. Case of encephalitis due to herpes simplex. Br Med J. 1966 Jun 18;1(5502):1519–1521. doi: 10.1136/bmj.1.5502.1519. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campbell A. M. Herpes encephalitis. I. The clinical picture. Postgrad Med J. 1969 Jun;45(524):382–385. doi: 10.1136/pgmj.45.524.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HULL R. N., NASH J. C. Immunization against B virus infection. I. Preparation of an experimental vaccine. Am J Hyg. 1960 Jan;71:15–28. doi: 10.1093/oxfordjournals.aje.a120086. [DOI] [PubMed] [Google Scholar]
- Harland W. A., Adams J. H., McSeveney D. Herpes-simplex particles in acute necrotising encephalitis. Lancet. 1967 Sep 16;2(7516):581–582. doi: 10.1016/s0140-6736(67)90737-4. [DOI] [PubMed] [Google Scholar]
- Hass G. M. Hepato-Adrenal Necrosis with Intranuclear Inclusion Bodies: Report of a Case. Am J Pathol. 1935 Jan;11(1):127–142.5. [PMC free article] [PubMed] [Google Scholar]
- KEEBLE S. A., CHRISTOFINIS G. J., WOOD W. Natural virus-B infection in rhesus monkeys. J Pathol Bacteriol. 1958 Jul;76(1):189–199. doi: 10.1002/path.1700760121. [DOI] [PubMed] [Google Scholar]
- MACCALLUM F. O. Generalized herpes simplex in the neonatal period. Acta Virol. 1959;3(Suppl):17–21. [PubMed] [Google Scholar]
- MACCALLUM F. O., POTTER J. M., EDWARDS D. H. EARLY DIAGNOSIS OF HERPES-SIMPLEX ENCEPHALITIS BY BRAIN BIOPSY. Lancet. 1964 Aug 15;2(7355):332–334. doi: 10.1016/s0140-6736(64)90276-4. [DOI] [PubMed] [Google Scholar]
- Olson L. C., Buescher E. L., Artenstein M. S., Parkman P. D. Herpesvirus infections of the human central nervous system. N Engl J Med. 1967 Dec 14;277(24):1271–1277. doi: 10.1056/NEJM196712142772401. [DOI] [PubMed] [Google Scholar]
- Perkins F. T., Hartley E. G. Precautions against B virus infection. Br Med J. 1966 Apr 9;1(5492):899–901. doi: 10.1136/bmj.1.5492.899. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith M. G., Lennette E. H., Reames H. R. Isolation of the virus of herpes simplex and the demonstration of intranuclear inclusions in a case of acute encephalitis. Am J Pathol. 1941 Jan;17(1):55–68.1. [PMC free article] [PubMed] [Google Scholar]
- VAN BOGAERT L., RADERMECKER J., DEVOS J. Sur une observation mortelle d'encéphalite aiguë nécrosante; sa situation vis-à-vis du groupe des encéphalites transmises par arthropodes et de l'encéphalite herpétique. Rev Neurol (Paris) 1955;92(5):329–356. [PubMed] [Google Scholar]
- ZUELZER W. W., STULBERG C. S. Herpes simplex virus as the cause of fulminating visceral disease and hepatitis in infancy; report of eight cases and isolation of the virus in one case. AMA Am J Dis Child. 1952 Apr;83(4):421–439. doi: 10.1001/archpedi.1952.02040080017001. [DOI] [PubMed] [Google Scholar]

