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Related Concept Videos

Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
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Encephalitis in US Children.

Kevin Messacar1, Marc Fischer2, Samuel R Dominguez1

  • 1Department of Pediatrics, University of Colorado, Children's Hospital Colorado, B055, 13123 East 16th Avenue, Aurora, CO 80045, USA.

Infectious Disease Clinics of North America
|December 12, 2017
PubMed
Summary
This summary is machine-generated.

Encephalitis is a severe brain inflammation affecting children. Prompt diagnosis and treatment are crucial, though infectious causes are found in less than half of cases.

Keywords:
Anti-NMDAArbovirusEncephalitisEnterovirusHerpes simplex virusMeningoencephalitisMyelitis

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Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Neuroinflammation

Background:

  • Encephalitis presents as neurologic dysfunction due to central nervous system inflammation.
  • It is an uncommon but severe condition, particularly in children.
  • Timely diagnosis and management are critical for patient outcomes.

Purpose of the Study:

  • To outline the recommended approach for managing pediatric encephalitis.
  • To emphasize the importance of diagnostic evaluation for treatable causes.
  • To highlight the diagnostic challenges and potential non-infectious etiologies.

Main Methods:

  • Supportive care and empiric therapies for common causes.
  • Prioritization of diagnostic evaluation for high-risk conditions.
  • Comprehensive diagnostic workup for encephalitis in children.

Main Results:

  • An infectious etiology is identified in fewer than 50% of pediatric encephalitis cases.
  • Diagnostic yield of extensive workups remains limited.
  • Non-infectious or post-infectious causes are frequently implicated.

Conclusions:

  • Pediatric encephalitis requires a multi-faceted management strategy.
  • The diagnostic evaluation should balance empiric treatment with thorough investigation.
  • Non-infectious processes should be considered when infectious causes are not identified.