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Encefalitis:Diagnóstico y Tratamiento

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Encefalitis:Diagnóstico y Tratamiento

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Juego sobre epilepsia encefalítica y manejo

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JONATHAN VALLADARES
JONATHAN VALLADARES
Ecuador

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Encefalitis:Diagnóstico y Tratamiento
 

Encefalitis:Diagnóstico y TratamientoOnline version

Juego sobre epilepsia encefalítica y manejo

by JONATHAN VALLADARES
1

Qué antiviral se recomienda iniciar ante encefalitis de origen viral sospechoso?

Respuesta escrita

2

Qué prueba es altamente sensible y específica para HSV-1 en encefalitis?

Respuesta escrita

3

Qué fármaco se usa como adyuvante en meningitis bacteriana

4

En encefalitis autoinmune, cuál es la terapia inicial típica?

5

Qué prueba puede ayudar a identificar etiologías cuando PCR es negativa?

6

Qué manejo reduce daño cerebral en encefalitis con inflamación?

7

Qué estudio debe evitarse de entrada si hay signos de herniación?

8

Qué requiere monitorización continua ante encefalitis viral?

9

Qué factor predice AE según estudio reciente?

Explicación

El HSV es una causa común; se usa aciclovir IV en sospecha.

La PCR de CSF para HSV-1 es muy sensible/específica.

Dexametasona se asocia a menor mortalidad en ABM.

Regímenes típicos: metilprednisolona + inmunoglobulinas o plasma.

mNGS puede detectar patógenos no probados por panel.

Corticosteroides reducen inflamación cuando indicado.

Si signos de herniación, no realizar LP antes de imagen.

SE y crisis convulsivas pueden ocurrir; monitorizar EEG.

Factores predictivos incluyen síntomas subagudos y ausencia inflamación CSF.

 
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