Department of Neurology, Brigham and Women's Hospital, Boston, Mass.
Department of Neurology, Brigham and Women's Hospital, Boston, Mass.
Am J Med. 2019 Oct;132(10):1142-1147. doi: 10.1016/j.amjmed.2019.07.001. Epub 2019 Jul 19.
Encephalopathy refers to dysfunction of the level or contents of consciousness due to brain dysfunction and can result from global brain insults or focal lesions. The underlying causes of encephalopathy include both primary neurologic and systemic conditions. This article discusses the differential diagnosis of encephalopathy, with a focus on primary neurologic causes. A practical schema for organizing the differential diagnosis is to group etiologies by their pace of onset and evolution (eg, sudden, acute, subacute, chronic).
脑病是指由于大脑功能障碍导致的意识水平或内容的功能障碍，可由全脑损伤或局灶性病变引起。脑病的根本原因包括原发性神经和系统性疾病。本文讨论了脑病的鉴别诊断，重点是原发性神经原因。组织鉴别诊断的实用方案是根据发病和演变的速度（例如，突然、急性、亚急性、慢性）将病因分组。
