Encephalitis: diagnosis, management and recent advances in the field of encephalitides

Encephalitis describes inflammation of the brain parenchyma, typically caused by either an infectious agent or through an autoimmune process which may be postinfectious, paraneoplastic or idiopathic. Patients can present with a combination of fever, alterations in behaviour, personality, cognition a...

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Main Authors: Alam, AM, Easton, A, Nicholson, TR, Irani, SR, Davies, NWS, Solomon, T, Michael, BD
Format: Journal article
Language:English
Published: Oxford University Press 2023
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author Alam, AM
Easton, A
Nicholson, TR
Irani, SR
Davies, NWS
Solomon, T
Michael, BD
author_facet Alam, AM
Easton, A
Nicholson, TR
Irani, SR
Davies, NWS
Solomon, T
Michael, BD
author_sort Alam, AM
collection OXFORD
description Encephalitis describes inflammation of the brain parenchyma, typically caused by either an infectious agent or through an autoimmune process which may be postinfectious, paraneoplastic or idiopathic. Patients can present with a combination of fever, alterations in behaviour, personality, cognition and consciousness. They may also exhibit focal neurological deficits, seizures, movement disorders and/or autonomic instability. However, it can sometimes present non-specifically, and this combined with its many causes make it a difficult to manage neurological syndrome. Despite improved treatments in some forms of encephalitides, encephalitis remains a global concern due to its high mortality and morbidity. Prompt diagnosis and administration of specific and supportive management options can lead to better outcomes. Over the last decade, research in encephalitis has led to marked developments in the understanding, diagnosis and management of encephalitis. In parallel, the number of autoimmune encephalitis syndromes has rapidly expanded and clinically characteristic syndromes in association with pathogenic autoantibodies have been defined. By focusing on findings presented at the Encephalitis Society's conference in December 2021, this article reviews the causes, clinical manifestations and management of encephalitis and integrate recent advances and challenges of research into encephalitis.
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spelling oxford-uuid:4ce28653-b353-4103-8e56-cb897d1499622025-02-07T15:54:23ZEncephalitis: diagnosis, management and recent advances in the field of encephalitidesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4ce28653-b353-4103-8e56-cb897d149962EnglishSymplectic ElementsOxford University Press2023Alam, AMEaston, ANicholson, TRIrani, SRDavies, NWSSolomon, TMichael, BDEncephalitis describes inflammation of the brain parenchyma, typically caused by either an infectious agent or through an autoimmune process which may be postinfectious, paraneoplastic or idiopathic. Patients can present with a combination of fever, alterations in behaviour, personality, cognition and consciousness. They may also exhibit focal neurological deficits, seizures, movement disorders and/or autonomic instability. However, it can sometimes present non-specifically, and this combined with its many causes make it a difficult to manage neurological syndrome. Despite improved treatments in some forms of encephalitides, encephalitis remains a global concern due to its high mortality and morbidity. Prompt diagnosis and administration of specific and supportive management options can lead to better outcomes. Over the last decade, research in encephalitis has led to marked developments in the understanding, diagnosis and management of encephalitis. In parallel, the number of autoimmune encephalitis syndromes has rapidly expanded and clinically characteristic syndromes in association with pathogenic autoantibodies have been defined. By focusing on findings presented at the Encephalitis Society's conference in December 2021, this article reviews the causes, clinical manifestations and management of encephalitis and integrate recent advances and challenges of research into encephalitis.
spellingShingle Alam, AM
Easton, A
Nicholson, TR
Irani, SR
Davies, NWS
Solomon, T
Michael, BD
Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title_full Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title_fullStr Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title_full_unstemmed Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title_short Encephalitis: diagnosis, management and recent advances in the field of encephalitides
title_sort encephalitis diagnosis management and recent advances in the field of encephalitides
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AT eastona encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides
AT nicholsontr encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides
AT iranisr encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides
AT daviesnws encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides
AT solomont encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides
AT michaelbd encephalitisdiagnosismanagementandrecentadvancesinthefieldofencephalitides