Staudt F, Obletter N, von Czettritz G, Lechner H, Weinmann H M, Furmaier R, Helwig H
Kinderkrankenhaus Passau.
Monatsschr Kinderheilkd. 1988 Aug;136(8):436-42.
Since antiviral chemotherapy is available herpes encephalitis has become of great importance among viral affections of the central nervous system. Five young infants are presented with special problems of this disease and its diagnostic possibilities especially serological and imaging methods (CT scan, nuclear magnetic resonance tomography, ultrasonography of the brain) as well as electroencephalography. Clinical symptoms are very important since all those methods are not sufficient for early diagnosis and prompt onset of antiviral chemotherapy. Herpes encephalitis should be considered after apparent febrile seizures with focal symptoms as well as increasing disturbance of consciousness as manifestation of acute encephalopathy.
由于有了抗病毒化疗药物,疱疹性脑炎在中枢神经系统病毒感染中变得极为重要。本文介绍了五名患有这种疾病的幼儿,以及该疾病的特殊问题、诊断方法,尤其是血清学和影像学方法(计算机断层扫描、核磁共振成像、脑超声检查)以及脑电图检查。临床症状非常重要,因为所有这些方法都不足以进行早期诊断以及迅速开始抗病毒化疗。在出现伴有局灶性症状的明显热性惊厥以及意识障碍加重作为急性脑病表现时,应考虑疱疹性脑炎。