Abstract
We report a 2-year-old boy with herpes simplex virus type 1 encephalitis (HSE) and
opercular syndrome who presented with clinical relapse characterized by chorea-like
involuntary movements that suggest akathisia. The patient initially presented with
multiple focal seizures that cause epilepsia partialis continua, polymerase chain
reaction (PCR) for herpes simplex virus type 1 was positive. He developed hypersalivation,
speech and swallowing difficulties within 30 days. Based on these findings the patient was diagnosed as having opercular syndrome
due to HSE. He developed akathisia on 44th day of admission as a relapse and he was
successfully treated with propranolol.
Opercular syndrome might be seen HSE in children and it may cause neurological suquela.
Akathisia might be seen after encephalitic process as a symptom of relapse, however
diagnosis of akathisia is difficult in young children. It should be noted that because
propranolol effective for these involuntary movements. It can be add additional choice
of treatment in these patients.
Keywords
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Article info
Publication history
Published online: March 20, 2013
Accepted:
February 25,
2013
Received in revised form:
February 24,
2013
Received:
January 1,
2013
Identification
Copyright
© 2013 The Japanese Society of Child Neurology. Published by Elsevier Inc. All rights reserved.
