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About 90% of cases of herpes encephalitis are caused by herpes simplex virus-1 (HSV-1), the same virus that causes cold sores. According to a 2006 estimate, 57% of American adults were infected with HSV-1, [3] which is spread through droplets, casual contact and sometimes sexual contact, though most infected people never have cold sores.
Infections of the central nervous system (CNS) consist of infections primarily of the brain and spinal cord. They include mostly viral infections, less commonly bacterial infections, fungal infections, prion diseases and protozoan infections. Neonatal meningitis is a particular classification by age.
When looking at the most common causes of meningitis, 8.3% are due to herpes simplex virus. [8] HSV-2 specifically is the most common cause of meningitis in adults. [6] Herpesviral meningitis primarily affects people aged 35–40, the elderly, and women. [9] Between 20% and 50% of cases have clinical recurrences. [3]
MRI scan image shows high signal in the temporal lobes and right inferior frontal gyrus in someone with herpes simplex encephalitis. Specialty: Neurology, infectious disease: Symptoms: Headache, fever, confusion, stiff neck, vomiting [1] Complications: Seizures, trouble speaking, memory problems, problems hearing [1] Duration: Weeks to months ...
Many viral infections of the central nervous system occur in seasonal peaks or as epidemics, whereas others, such as herpes simplex encephalitis, are sporadic. In endemic areas it is mostly a disease of children, but as the disease spreads to new regions, or nonimmune travelers visit endemic regions, nonimmune adults are also affected.
For herpes simplex virus encephalitis, a CT scan may show low-density lesions in the temporal lobe. These lesions usually appear 3 to 5 days after the start of the infection. Japanese encephalitis often has distinct EEG patterns, including diffuse delta activity with spikes, diffuse continuous delta activity, and alpha coma activity.
The following is a list of viruses currently in use for the purpose of neuronal tracing. Herpes simplex virus (Herpesviridae family) – anterograde [17] [18] Pseudorabies virus PRV (Herpesviridae family) – retrograde trans-synaptic [19] and anterograde [20] Rabies virus (Rhabdoviridae family) – retrograde trans-synaptic. [14] [21] [22]
Neurotropic viruses that cause infection include Japanese Encephalitis, Venezuelan Equine Encephalitis, and California encephalitis viruses; polio, coxsackie, echo, mumps, measles, influenza and rabies, as well as diseases caused by members of the family Herpesviridae such as herpes simplex, varicella-zoster, Epstein–Barr, cytomegalovirus and HHV-6 viruses. [2]