Recovery from herpes simplex encephalitis: selective impairment of specific semantic categories with neuroradiological correlation

The clinical, neuropsychological and neuroradiological features of two patients affected by herpes simplex virus type 1 (HSV-1) encephalitis are described. An experimental study for the assessment of naming, recognition and description displayed in one patient a persistent significant impairment in...

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Veröffentlicht in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1988-10, Vol.51 (10), p.1284-1293
Hauptverfasser: Pietrini, V, Nertempi, P, Vaglia, A, Revello, M G, Pinna, V, Ferro-Milone, F
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container_issue 10
container_start_page 1284
container_title Journal of neurology, neurosurgery and psychiatry
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creator Pietrini, V
Nertempi, P
Vaglia, A
Revello, M G
Pinna, V
Ferro-Milone, F
description The clinical, neuropsychological and neuroradiological features of two patients affected by herpes simplex virus type 1 (HSV-1) encephalitis are described. An experimental study for the assessment of naming, recognition and description displayed in one patient a persistent significant impairment in naming living things. The other patient showed a failing "semantic memory" for the same categories, although a significant impairment emerged only for plants. In both patients, the late neuroradiological sequelae were localised mainly in the inferior and middle gyri of the left temporal lobe and in the left-side insula. In one patient, the right-side insula was also involved. The selective cerebral damage induced by HSV-1 is stressed and a correlation between the neuroradiological and neuropsychological findings is attempted. The stereotyped anatomical and neuropsychological changes lead to the belief that the virus may recognise, within the limbic system, particular cellular "strains" on the basis of their molecular specificity.
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subjects Adult
Anomia - psychology
Aphasia - psychology
Biological and medical sciences
Brain Damage, Chronic - psychology
Encephalitis - diagnostic imaging
Encephalitis - psychology
Follow-Up Studies
Herpes Simplex - diagnostic imaging
Herpes Simplex - psychology
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Mental Recall
Middle Aged
Neurocognitive Disorders - psychology
Neuropsychological Tests
Radiography
Semantics
Viral diseases
Viral diseases of the nervous system
title Recovery from herpes simplex encephalitis: selective impairment of specific semantic categories with neuroradiological correlation
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