Herpetic Meningoencephalitis Complicating the Resection of a Vestibular Schwannoma: A Case Report

Clin Case Rep. 2025 Jan 2;13(1):e70050. doi: 10.1002/ccr3.70050. eCollection 2025 Jan.

Abstract

After surgery involving cranial nerves and more generally the central nervous system, nonbacterial meningitis should raise suspicion of herpes simplex virus type 1 reactivation. No time should be wasted in diagnosis and treatment; therefore, a polymerase chain reaction testing on cerebrospinal fluid should be systematic in this situation, without neglecting to consider other differential diagnoses.

Keywords: acoustic neuroma; case report; herpes simplex virus; herpetic encephalitis; vestibular schwannoma.