Viral encephalitis physical examination: Difference between revisions
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* Dystonia | * Dystonia | ||
* Ataxia | * Ataxia | ||
===Herpes simplex encephalitis is commonly seen in neonates and physical examination may include: | ===Herpes simplex encephalitis=== | ||
It is commonly seen in neonates and physical examination may include: | |||
====General physical examination==== | ====General physical examination==== | ||
* Decreased consciousness, irritability | * Decreased consciousness, irritability | ||
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====Neurological==== | ====Neurological==== | ||
* Seizures | * Seizures | ||
==See also== | ==See also== | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
Revision as of 00:16, 13 February 2012
Template:Encephalitis Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Encephalitis is an acute inflammation of the brain, commonly caused by a viral infection. It may present as focal or diffuse neurological signs. The signs may include altered mental status, change in personality, meningismus, ataxia, seizures, and cranial nerve involvement.
Physical examination
Focal
Focal neurological signs are found commonly in patients with Herpes simplex encephalitis. Common findings in encephalitis are:
- Focal seizures
- Cranial nerve palsy
- Dysphagia (Rabies)
Diffuse
- Altered sensorium
- Personality changes
- Autonomic dysfunction
- Hemiparesis
- Meningismus
- Dystonia
- Ataxia
Herpes simplex encephalitis
It is commonly seen in neonates and physical examination may include:
General physical examination
- Decreased consciousness, irritability
- Bulging fontanelles
- Jaundice
- Keratoconjunctivitis
- Herpetic skin lesions
- Shock
Gastrointestinal
- Herpetic lesions in tongue and buccal mucosa
- Hepatomegaly
Neurological
- Seizures