Intensive care issues in Acute Encephalitis in Children
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 3
Abstract
Encephalitis is a major cause of acute neurological dysfunction among children and constitutes a medical emergency. Acute infectious encephalitis is usually viral in etiology. However, immune-mediated encephalitis, which are eminently treatable also forms asignificant proportion. The evaluation and management have evolved with the advances in diagnostic studies, neuromonitoring techniques and antimicrobials. Early recognition, systematic approach and institution of timely appropriate symptomatic and specific therapy are essential to improve outcomes. Cerebrospinal fluid examination and neuroimaging may point to a specific diagnosis. With few exceptions, no specific therapy is available for most forms of viral encephalitis. Morbidity and mortality can be significantly reduced in HSV encephalitis by adequate treatment with acyclovir while delays in treatment can be devastating. Long term sequelae are common among survivors.
Authors and Affiliations
Mounika Reddy, Arun Bansal
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