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Clinical features

Authoring team

Encephalitis presents in a similar manner to an abscess (1):

  • a short history of:
    • headache
    • pyrexia
    • confusion
    • vomiting
  • an important negative is the absence of neck stiffness
  • developing into:
    • epilepsy
    • focal neurological signs
    • cognitive impairment

Clues to the origin of the encephalitis may be ascertained from the presentation:

  • chickenpox encephalitis often has cerebellar involvement
  • Herpes simplex encephalitis often presents with a fit and the most often involves the temporal lobe

Reference

  1. Ellul M, Solomon T. Acute encephalitis - diagnosis and management. Clin Med (Lond). 2018 Mar;18(2):155-159

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