Craniectomy: An aggressive treatment approach in severe encephalitis
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To the Editor: We read with great interest the recent article by Schwab et al.1 on hemicraniectomy as a lifesaving procedure in six patients with viral encephalitis complicated by increased intracranial pressure. Their patients had an excellent clinical outcome despite signs of uncal herniation prior to hemicraniectomy.
We would like to present a similar case of a young patient with viral encephalitis and downward herniation treated medically, who had an excellent clinical outcome without surgical intervention. Our patient is a 33-year-old female who presented with a 1 week history of fluctuating sensory symptoms on her right side and mild aphasia. On admission she had a fever of …
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