يُعدّ التهاب الدماغ الناشئ في سياق عدوى فيروس إبشتاين-بار مظهرًا سريريًا مميزًا يستلزم نهجًا إداريًا محددًا. تختلف استراتيجية العلاج اختلافًا جوهريًا عن سائر أشكال التهاب الدماغ الفيروسي.
DOI: 10.1086/589747
Epstein-Barr virus: acyclovir is not recommended; the use of corticosteroids may be beneficial (C-III), but the potential risks must be weighed against the benefits.
Corticosteroids were reported to be helpful in several anecdotal reports of neurologic complications of infection with Epstein-Barr virus (including encephalomyelitis) and have been used in patients with increased intracranial pressure; these data suggest that they may be beneficial in selected patients, but their potential benefits must be weighed against potential risk of perpetuating viral infection or of delaying the diagnosis of or partially treating AIDS-related CNS lymphoma.
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