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[Encephalitis with viral replication. Clinical aspects, prognosis and treatment]
M Tardieu1, O Boespflug, P Landrieu
1Service de Neurologie Pédiatrique et Unité INSERM U 56, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Abstract:
Encephalites with viral replication are due to multiplication of a virus within the central nervous system. Diagnosis and initial therapeutic decisions rest on simple clinical and paraclinical findings: age of the child, presence of high-grade fever, presence and localization of seizures, CSF characteristics, and EEG findings. Acyclovir is always indicated in a drowsy child with a high fever who has even a brief seizure and CSF abnormalities.