Frequent differences between encephalopathy and encephalitis
Encephalopathy | Encephalitis | |
---|---|---|
Reproduced from Davis,7 with permission. | ||
These features are only guidelines for the clinician to help in the distinction between the two conditions. An individual patient is likely to show various combinations of these features. | ||
CSF, cerebrospinal fluid; EEG, electroencephalogram; MRI, magnetic resonance imaging. | ||
Clinical features | ||
Fever | Uncommon | Common |
Headache | Uncommon | Common |
Depressed mental status | Steady deterioration | May fluctuate |
Focal neurologic signs | Uncommon | Common |
Types of seizures | Generalised | Generalised or focal |
Laboratory findings | ||
Blood | Leucocytosis uncommon | Leucocytosis common |
CSF | Pleocytosis uncommon | Pleocytosis common |
EEG | Diffuse slowing | Diffuse slowing and focal abnormalities |
MRI | Often normal | Focal abnormalities |