神经病学（第八版课件）-encephelitis.pptVIP

Infections of the Central Nervous System Zheng dongming Pathogen Category Encephalitis:brain parenchyma Meningitis:meninges Meningoencephalitis Hematogenous disemination Neuronal spread of the virus Direct infection Herpes simplex virus encephalitisHSE The most common type viral encephalitis. Etiology and Pathogenisis HSV-I:90%(70%) trigeminal ganglia HSV (DNA) HSV-II:neunatal Pathology An acute necrotic ,asymmetric hemorrhagic process with lymphotic and plasma cell reaction. Usually involves the medial temporal and inferior frontal lobe. Clini