Herpes Reactivation Following Posterior Fossa Surgery: A Case Series

Kali C. Das; Surendra K. Jangid; Saumya Srivastava; Gyanendra P. Singh

doi:10.1055/s-0045-1810409

Journal of Neuroanaesthesiology and Critical Care, Inhaltsverzeichnis

CC BY 4.0 · J Neuroanaesth Crit Care
DOI: 10.1055/s-0045-1810409

Case Series

Herpes Reactivation Following Posterior Fossa Surgery: A Case Series

Autor*innen

Kali C. Das

¹Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS) Raebareli, Raebareli, Uttar Pradesh, India
Surendra K. Jangid

²Department of Cardiac Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Delhi, India
Saumya Srivastava

¹Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS) Raebareli, Raebareli, Uttar Pradesh, India
Gyanendra P. Singh

³Department of Neuro-Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Delhi, India

Abstract

Herpes reactivation following posterior fossa surgery is an underrecognized but clinically significant complication. This case series describes three patients who developed herpes labialis within 3 to 4 days after posterior fossa surgery involving the trigeminal nerve. Surgical stress, direct nerve manipulation, and perioperative corticosteroid use likely contributed to reactivation. Prompt diagnosis and early antiviral therapy with acyclovir led to complete resolution in all cases. These findings highlight the need for greater awareness, early recognition, and potential prophylactic antiviral use in high-risk neurosurgical procedures to prevent herpes-related complications.

Keywords

herpes virus - herpes reactivation - posterior fossa surgery - herpes labialis - acyclovir

Volltext

Referenzen

References
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