Viral encephalitis: Difference between revisions
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[[File:Viral_encephalitis.png| | {{Infobox medical condition | ||
| name = Viral encephalitis | |||
| image = [[File:Viral_encephalitis.png|alt=Viral encephalitis]] | |||
| caption = MRI scan showing viral encephalitis | |||
| field = [[Neurology]] | |||
| symptoms = [[Fever]], [[headache]], [[confusion]], [[seizures]], [[nausea]], [[vomiting]] | |||
| complications = [[Cerebral edema]], [[seizures]], [[coma]], [[death]] | |||
| onset = Sudden | |||
| duration = Varies | |||
| causes = [[Viral infection]] (e.g., [[Herpes simplex virus]], [[West Nile virus]], [[Japanese encephalitis virus]]) | |||
| risks = [[Immunocompromised state]], [[age extremes]] (very young or elderly) | |||
| diagnosis = [[Lumbar puncture]], [[MRI]], [[CT scan]], [[EEG]], [[PCR testing]] | |||
| differential = [[Bacterial meningitis]], [[autoimmune encephalitis]], [[brain abscess]] | |||
| treatment = [[Antiviral drugs]] (e.g., [[Acyclovir]]), [[supportive care]] | |||
| medication = [[Acyclovir]], [[Ganciclovir]], [[Ribavirin]] | |||
| prognosis = Varies; can be severe | |||
| frequency = Rare | |||
| deaths = Varies depending on the virus and treatment | |||
}} | |||
'''Viral encephalitis''' is an inflammation of the brain caused by a viral infection. It is a serious condition that can lead to significant neurological damage and, in some cases, can be life-threatening. The condition is characterized by the sudden onset of fever, headache, confusion, and, in severe cases, seizures and coma. | '''Viral encephalitis''' is an inflammation of the brain caused by a viral infection. It is a serious condition that can lead to significant neurological damage and, in some cases, can be life-threatening. The condition is characterized by the sudden onset of fever, headache, confusion, and, in severe cases, seizures and coma. | ||
== Causes == | == Causes == | ||
Viral encephalitis can be caused by a variety of [[viruses]]. Some of the most common viruses that lead to encephalitis include: | Viral encephalitis can be caused by a variety of [[viruses]]. Some of the most common viruses that lead to encephalitis include: | ||
* [[Herpes simplex virus]] (HSV) | * [[Herpes simplex virus]] (HSV) | ||
* [[Varicella zoster virus]] (VZV) | * [[Varicella zoster virus]] (VZV) | ||
| Line 11: | Line 27: | ||
* [[Arboviruses]], such as the [[West Nile virus]] and [[Japanese encephalitis virus]] | * [[Arboviruses]], such as the [[West Nile virus]] and [[Japanese encephalitis virus]] | ||
* [[Rabies virus]] | * [[Rabies virus]] | ||
== Symptoms == | == Symptoms == | ||
The symptoms of viral encephalitis can vary depending on the virus involved and the severity of the infection. Common symptoms include: | The symptoms of viral encephalitis can vary depending on the virus involved and the severity of the infection. Common symptoms include: | ||
* Fever | * Fever | ||
* Headache | * Headache | ||
| Line 22: | Line 36: | ||
* Seizures | * Seizures | ||
* Weakness or paralysis | * Weakness or paralysis | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of viral encephalitis typically involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic tools include: | Diagnosis of viral encephalitis typically involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic tools include: | ||
* [[Lumbar puncture]] to analyze cerebrospinal fluid (CSF) | * [[Lumbar puncture]] to analyze cerebrospinal fluid (CSF) | ||
* [[Magnetic resonance imaging]] (MRI) of the brain | * [[Magnetic resonance imaging]] (MRI) of the brain | ||
* [[Polymerase chain reaction]] (PCR) testing to identify viral DNA or RNA in the CSF | * [[Polymerase chain reaction]] (PCR) testing to identify viral DNA or RNA in the CSF | ||
== Treatment == | == Treatment == | ||
Treatment for viral encephalitis depends on the specific virus causing the infection. Antiviral medications, such as [[acyclovir]], are commonly used to treat herpes simplex virus encephalitis. Supportive care, including hospitalization, intravenous fluids, and medications to control symptoms, is often necessary. | Treatment for viral encephalitis depends on the specific virus causing the infection. Antiviral medications, such as [[acyclovir]], are commonly used to treat herpes simplex virus encephalitis. Supportive care, including hospitalization, intravenous fluids, and medications to control symptoms, is often necessary. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for individuals with viral encephalitis varies widely. Factors influencing the outcome include the specific virus involved, the patient's age and overall health, and the promptness of treatment. Some patients recover fully, while others may experience long-term neurological deficits. | The prognosis for individuals with viral encephalitis varies widely. Factors influencing the outcome include the specific virus involved, the patient's age and overall health, and the promptness of treatment. Some patients recover fully, while others may experience long-term neurological deficits. | ||
== Prevention == | == Prevention == | ||
Preventive measures for viral encephalitis focus on reducing the risk of viral infections. These measures include: | Preventive measures for viral encephalitis focus on reducing the risk of viral infections. These measures include: | ||
* Vaccination against viruses such as [[measles]], [[mumps]], and [[rubella]] | * Vaccination against viruses such as [[measles]], [[mumps]], and [[rubella]] | ||
* Avoiding mosquito bites in areas where arboviruses are common | * Avoiding mosquito bites in areas where arboviruses are common | ||
* Practicing good hygiene to prevent the spread of enteroviruses | * Practicing good hygiene to prevent the spread of enteroviruses | ||
== See also == | |||
== | |||
* [[Encephalitis]] | * [[Encephalitis]] | ||
* [[Meningitis]] | * [[Meningitis]] | ||
* [[Herpes simplex virus]] | * [[Herpes simplex virus]] | ||
* [[West Nile virus]] | * [[West Nile virus]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Infectious diseases]] | [[Category:Infectious diseases]] | ||
Latest revision as of 20:19, 8 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Viral encephalitis | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Fever, headache, confusion, seizures, nausea, vomiting |
| Complications | Cerebral edema, seizures, coma, death |
| Onset | Sudden |
| Duration | Varies |
| Types | N/A |
| Causes | Viral infection (e.g., Herpes simplex virus, West Nile virus, Japanese encephalitis virus) |
| Risks | Immunocompromised state, age extremes (very young or elderly) |
| Diagnosis | Lumbar puncture, MRI, CT scan, EEG, PCR testing |
| Differential diagnosis | Bacterial meningitis, autoimmune encephalitis, brain abscess |
| Prevention | N/A |
| Treatment | Antiviral drugs (e.g., Acyclovir), supportive care |
| Medication | Acyclovir, Ganciclovir, Ribavirin |
| Prognosis | Varies; can be severe |
| Frequency | Rare |
| Deaths | Varies depending on the virus and treatment |
Viral encephalitis is an inflammation of the brain caused by a viral infection. It is a serious condition that can lead to significant neurological damage and, in some cases, can be life-threatening. The condition is characterized by the sudden onset of fever, headache, confusion, and, in severe cases, seizures and coma.
Causes[edit]
Viral encephalitis can be caused by a variety of viruses. Some of the most common viruses that lead to encephalitis include:
- Herpes simplex virus (HSV)
- Varicella zoster virus (VZV)
- Enteroviruses
- Arboviruses, such as the West Nile virus and Japanese encephalitis virus
- Rabies virus
Symptoms[edit]
The symptoms of viral encephalitis can vary depending on the virus involved and the severity of the infection. Common symptoms include:
- Fever
- Headache
- Sensitivity to light (photophobia)
- Stiff neck
- Confusion or altered mental status
- Seizures
- Weakness or paralysis
Diagnosis[edit]
Diagnosis of viral encephalitis typically involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic tools include:
- Lumbar puncture to analyze cerebrospinal fluid (CSF)
- Magnetic resonance imaging (MRI) of the brain
- Polymerase chain reaction (PCR) testing to identify viral DNA or RNA in the CSF
Treatment[edit]
Treatment for viral encephalitis depends on the specific virus causing the infection. Antiviral medications, such as acyclovir, are commonly used to treat herpes simplex virus encephalitis. Supportive care, including hospitalization, intravenous fluids, and medications to control symptoms, is often necessary.
Prognosis[edit]
The prognosis for individuals with viral encephalitis varies widely. Factors influencing the outcome include the specific virus involved, the patient's age and overall health, and the promptness of treatment. Some patients recover fully, while others may experience long-term neurological deficits.
Prevention[edit]
Preventive measures for viral encephalitis focus on reducing the risk of viral infections. These measures include:
- Vaccination against viruses such as measles, mumps, and rubella
- Avoiding mosquito bites in areas where arboviruses are common
- Practicing good hygiene to prevent the spread of enteroviruses
