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Published on: June 14, 2020
Infections of the nervous system
Vevek Parikh1, Veronica Tucci, Sagar Galwankar
1University of California, San Francisco, CA, USA.
Abstract:
Glycemic control is an important aspect of patient care in the surgical Infections of the nervous system are among the most difficult infections in terms of the morbidity and mortality posed to patients, and thereby require urgent and accurate diagnosis. Although viral meningitides are more common, it is the bacterial meningitides that have the potential to cause a rapidly deteriorating condition that the physician should be familiar with. Viral encephalitis frequently accompanies viral meningitis, and can produce focal neurologic findings and cognitive difficulties that can mimic other neurologic disorders. Brain abscesses also have the potential to mimic and present like other neurologic disorders, and cause more focal deficits. Finally, other infectious diseases of the central nervous system, such as prion disease and cavernous sinus thrombosis, are explored in this review.
Insights
This review covers challenging nervous system infections, focusing on bacterial meningitis and encephalitis. Early diagnosis and understanding of diverse presentations like brain abscesses are crucial for patient outcomes.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Infections of the central nervous system (CNS) present significant diagnostic and management challenges.
- Bacterial meningitis poses a rapid, life-threatening risk requiring immediate medical attention.
- Viral encephalitis and brain abscesses can mimic other neurological conditions, complicating diagnosis.
Purpose of the Study:
- To review the critical aspects of diagnosing and managing various CNS infections.
- To highlight the distinct clinical presentations and potential mimics of serious neurological infections.
- To provide an overview of less common but significant CNS infectious diseases.
Main Methods:
- Literature review of infectious diseases affecting the central nervous system.
- Analysis of diagnostic challenges and clinical presentations.
- Discussion of differential diagnoses for neurological deficits.
Main Results:
- Bacterial meningitis is a critical condition with high morbidity and mortality.
- Viral encephalitis can present with focal neurological signs and cognitive impairment.
- Brain abscesses and other CNS infections like prion disease require specific diagnostic considerations.
Conclusions:
- Accurate and prompt diagnosis of CNS infections is paramount for effective patient care.
- Familiarity with the varied presentations of bacterial meningitis and encephalitis is essential for clinicians.
- A broad understanding of CNS infectious diseases aids in managing complex neurological cases.
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