Department of Neurology, Banaras Hindu University, India
Case Report
Harlequin Syndrome Secondary to Herpes Simplex Encephalitis
Author(s): Abhishek Dixit, Abhishek Pathak, Anand Kumar, Rameshwar Nath Chaurasi, Vijaya Nath Mishra, Deepika Joshi, Varun Kumar Singh* and Pratishtha Sengar
Background: Harlequin syndrome is a rare dysautonomia syndrome characterized by increased sweating on one side and anhidrosis on the contralateral side
of the body.
Case report: A 24 years old male presented with fever, multiple episodes of focal seizures with bilateral tonic clonic movements and altered sensorium. On
evaluation, he was diagnosed as a case of Herpes Simplex Encephalitis based on classical radiological and positive cerebrospinal fluid real time polymerase
chain reaction test for herpes simplex virus 1. He received full course of intravenous acyclovir during hospital stay and discharged on two antiepileptics. During
follow up, he developed increased sweating on one half of face and anhidrosis over another half suggestive of Harlequin syndrome. However, these symptoms
subsided by its own without any active interven.. Read More»
DOI:
10.4172/2329-6895.10.4.490
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