Herpes Encephalopathy Flashcards
If untreated, how many die from herpes encephalopathy
40% die
Percent of viral encephalopathy that are herpes.
15 percent
Symptoms of hsv encephalopathy
S.H.A.T. Seizure Headache Altered mental status Temp
How does hsv spread to brain
Mandibilar branch of cn v
What do you see in hsv encephalopathy csf
MRI Mild lympho lymphocytic Red blood cell Increase protein No virus
Patho of hsv encephathy.
Focal necrosis in temporal and frontal lobes.
How can you best see hsv 1 encephalopathy
MRI
When is EEG important with hsv encephalopathy
When MRI does work
PLED aka
Periodic lateralization epileptiform discharge
Plead the fifth.
Best diagnosis for hsv1 encephalopathy
Csf pcr
Bolo. False positive.
Gold std for hsv encephalopathy
Biopsy
What does the biopsy of hsv encephalopathy show you.
Cow dry type 1
CDt w hsv
Treatment of hsv encephalopathy of choice.
10- 12.5 mg/kg Iv q 8 or tid 2 to 3 wk 12 tid three wks Phenytoin for two after seizures stop
Pearl of tx hsv encephalopathy.
If you think it tx. No tests necessary.
Two viral encephalitis that have treatments
Hsv. and cmv
