Department of Neurology, Massachusetts General Hospital, Wang ACC 835, 55 Fruit Street, Boston, MA, 02114, USA.
Brigham and Women's Hospital, Boston, MA, USA.
Curr Neurol Neurosci Rep. 2016 May;16(5):45. doi: 10.1007/s11910-016-0650-9.
Encephalitis has various etiologies, but viral infections and autoimmune disorders are the most commonly identified. Clinical signs, geographical clues, and diagnostic testing-including cerebrospinal fluid abnormalities and magnetic resonance imaging abnormalities-can be helpful in identifying the cause. Certain forms of encephalitis have specific treatments; hence, establishing a diagnosis rapidly and accurately is crucial. Here, we describe the clinical approach to diagnosing several common etiologies of encephalitis as well as treatment strategies.
脑炎有多种病因,但最常见的是病毒感染和自身免疫性疾病。临床症状、地理线索和诊断测试(包括脑脊液异常和磁共振成像异常)有助于确定病因。某些类型的脑炎有特定的治疗方法;因此,快速准确地做出诊断至关重要。在这里,我们描述了诊断几种常见脑炎病因的临床方法以及治疗策略。