Viral encephalitis

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

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

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

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

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

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

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

See also

• Encephalitis
• Meningitis
• Herpes simplex virus
• West Nile virus