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A case of herpes encephalitis presenting unilateral facial palsy
J Korean Skull Base Soc -0001;():-
Published online December 9, 2022
© 2022 Korean Skull Base Society.

Sohee Park, Hyojung Kim, Beomcho Jun

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Beom Cho Jun
Received August 4, 2022; Revised September 1, 2022; Accepted September 5, 2022.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Herpes simplex encephalitis (HSE) is a rare, but lethal infectious disease characterized by inflammation of the brain parenchyma. The annual incidence rate is reported as one case per 250,000-500,000 population. Patients present with various non-specific symptoms including headache, fever, decreased consciousness and many other focal neurologic deficits, which often lead to difficult and delayed diagnosis. In the absence of proper management, prognosis is very poor with a mortality rate of about 70%. Here, we discuss about a case of HSE diagnosed after brain magnetic resonance imaging scan, who initially presented with facial paralysis with hearing loss and dizziness.
Keywords : Dizziness, Facial palsy, Hearing impairment, Herpes simplex encephalitis

September 2022, 17 (2)
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