Neuropsychological and psychiatric profiles in acute encephalitis in adults

Neuropsychological and psychiatric profiles in acute encephalitis in adults

A 22-year-old woman gave a 1-month history of occipital headaches associated with dizziness, unsteadiness, and fatigue. Viruses, particularly the group known as enteroviruses, are the biggest cause of encephalitis. But I have however found that since I have joined this group it has helped me ease up a bit and understand this virus to better help my mom. Unexpectedly she recovered from the illness with the administration of vidarabine and acyclovir. The diagnosis of encephalitis is made after the sudden or gradual onset of specific symptoms and after diagnostic testing. The patient was disoriented to place and time; he was able to follow simple commands, but recall was poor. , Gliatto , M.

Conclusion Patient CSF directly suppresses global activity of neuronal networks recorded by the MEA system. Table 1 lists the families, genera and main species of DNA viruses causing human neurological disease. A. A strength of this review is meeting a need for knowledge on various rehabilitative interventions and outcomes in patients with infectious encephalitis, highlighting any sex differences observed for this population. C. EBV infections have diverse clinical manifestations including subclinical infection, infectious mononucleosis (IM), and associations with malignancies such as nasopharyngeal carcinoma, Burkitt lymphoma, Hodgkin’s disease, and primary central nervous system lymphoma. Psychiatric manifestations of acute viral encephalitis.
Neuropsychological and psychiatric profiles in acute encephalitis in adults

Psychiatric Annals, 31(3): 193–204. View all references ), larger scale studies of the pattern of neuropsychological and psychiatric impairment following recovery from the acute inflammatory phase are less apparent. This paper reports the results of neuropsychological testing with a range of standardised cognitive measures in a case series of long-term post-acute participants. Psychiatric abnormality is examined using the SCL-90-R self-report scale of distress (Derogatis, 198317. Derogatis , L. R. PATIENT CARE The acutely ill patient’s mental status, level of consciousness, orientation, and motor function are assessed for indications of increasing ICP and documented to monitor changes.

SCL-90-R, Towson, MD: Clinical Psychometric Research. View all references ). However, HSE has been described following brain surgery,[13] and experimental evidence shows that rabbits infected with HSV-1 by nasal instillation develop a necrotizing temporal lobe encephalitis when given intravenous dexamethasone and cyclophosphamide.[14] Additionally, in latently infected mice, reactivation of HSV-1 in the trigeminal ganglia has been induced by ultraviolet radiation of the cornea.[15] These findings are consistent with the current findings in a patient who developed HSE 4 weeks following stereotactic radiotherapy. These may include personality changes, memory loss, language difficulties, seizures, and partial paralysis. Abnormally high levels of distress were reported by participants, with depression, obsessive-compulsive symptoms, interpersonal sensitivity and phobic anxiety most significantly increased. Depression was found to be least severe in those with most accurate insight into their problems. CSF is the fluid that bathes the brain and spinal cord.

Obsessive-compulsive behaviour and phobic anxiety, however, appear to exist independently of the assessed cognitive deficits.

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