The role of laboratory investigation in the diagnosis and management of patients with suspected herpes simplex encephalitis: A consensus report

P. Cinque, G. M. Cleator, T. Weber, P. Monteyne, C. J. Sindic, A. M. Van Loon

Research output: Contribution to journalArticlepeer-review

Abstract

As effective therapies for the treatment of herpes simplex encephalitis (HSE) have become available, the virology laboratory has acquired a role of primary importance in the early diagnosis and clinical management of this condition. Several studies have shown that the polymerase chain reaction (PCR) of CSF for the detection of herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2) DNA provides a reliable method for determining an aetiological diagnosis of HSE. The use of PCR in combination with the detection of a specific intrathecal antibody response to HSV currently represents the most reliable strategy for the diagnosis and monitoring of the treatment of adult patients with HSE. The use of these techniques has also led to the identification of atypical presentations of HSV infections of the nervous system and permits the investigation of patients who develop a relapse of encephalitic illness after an initial episode of HSE. A strategy for the optimal use of the investigative laboratory in the diagnosis of HSE and subsequent management decisions is described.

Original languageEnglish
Pages (from-to)339-345
Number of pages7
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume61
Issue number4
Publication statusPublished - Oct 1996

Keywords

  • Herpes encephalitis
  • Herpes simplex
  • Management
  • Polymerase chain reaction

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Neuroscience(all)
  • Psychiatry and Mental health

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