انسفاليت
هرپس شايعترين و كشنده ترين اتيولوژي مي باشد.
انسفاليت ناشي ازEastern equine باعث ايجاد تغييرات فوكال MRI در نواحي basal ganglia و تالاموس مي گردد.
علائم:
– علائم سيستميك
– اختلالات رفتاري و هذيان
– علائم حسي و حركتي
– تشنج
تشخيص:
– تصوير برداري: MRIمغز(ضايعه در لوپ تمپورال)
– EEG مختل
– آناليز CSF:PCR
Upper panels: MR images of the brain at two day after admission. Abnormal signals were seen in the right temporal lobe and insular cortex. Lower panels: MR images showing that abnormal signals had spread to the left side at 15 days after admission.
Reproduced with permission from: The Department of Neurology, Obihiro Kosei General Hospital, Obihiro. Received for publication March 24, 2003. Copyright © Hideki Houzen, MD.
درمان انسفاليت هرپسي:
Acyclovir 10mg/kg/Iv/q8h 14-21 d