142.2 📚 國考版

142.2.0.1 必背 — HSV Encephalitis

• Empirical acyclovir 10 mg/kg IV q8h immediately — don’t wait!
• Temporal lobe lesions on MRI
• CSF PCR HSV = gold dx
• 14-21 days treatment

142.2.0.2 必背 — Anti-NMDA Encephalitis

• Young female + ovarian teratoma
• Psychiatric → seizure → autonomic progression
• Tumor removal + IVIG/PLEX + steroids → rituximab/cyclophosphamide

142.2.0.3 必背 — CSF Pattern

Encephalitis	WBC	Protein	Glucose
Viral	Lymphocytic ↑ (10-1000)	Normal-mild ↑	Normal
Bacterial meningitis (vs)	PMN ↑↑↑ (100-10K)	↑↑ (> 100)	↓↓
TB / Fungal	Lymphocytic	↑↑	Low-normal

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