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• W2324411241 abstract "Background Most herpes simplex virus encephalitis (HSVE) patients become disabled despite antiviral therapy. Adjunctive corticosteroid therapy may improve outcomes. Methods This was a systematic review of the literature addressing the use of corticosteroids in HSVE. Results Data suggesting that steroids decrease the immunological response and enhance viral replication originated from non-neural microenvironments. Early steroid administration might be harmful because initial damage in HSVE is mediated by viral replication. Steroid treatment improves outcomes in animal models by inhibiting the subsequent inflammatory response. Clinical observations support a similar benefit in symptomatic HSVE patients. Cerebrospinal fluid inflammatory markers might guide appropriate timing in future clinical practice. Conclusions Experimental and clinical observations suggest a benefit from adjunctive steroid therapy in HSVE. Nevertheless, current evidence is not yet sufficient to endorse this approach as a standard of practice." @default.
• W2324411241 created "2016-06-24" @default.
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• W2324411241 creator A5041105378 @default.
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• W2324411241 date "2013-02-01" @default.
• W2324411241 modified "2023-10-10" @default.
• W2324411241 title "A Systematic Review on the Role of Adjunctive Corticosteroids in Herpes Simplex Virus Encephalitis: Is Timing Critical for Safety and Efficacy?" @default.
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• W2324411241 doi "https://doi.org/10.3851/imp2683" @default.
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