[问]非特异性脑炎是否就是病毒性脑炎? [答]非特异性脑炎的正式名称,目前应为散发性脑炎,所谓散发系针对流行而言。散发性脑炎为临床诊断的名称,实际上不是一个单独的疾病单元,而是由不同原因引起的综合征。这个综合征的临床表现是:以急性或亚急性起病,可伴有发热,往往在病前先有上呼吸道感染或腹泻的症状,一般多出现大脑半球弥漫性损害的症状和体征,如精神障碍(主要为沉默少言,精神淡漠,反应迟钝,无故笑哭,行为异常等)、大小便失禁、癫痫发作、意识障碍、昏迷等,少数呈局灶性表现(如偏瘫、脑干、小脑或基底神经节症状),个别合并颅内高压症而类似脑肿瘤,脑电图多示弥漫性高波幅慢波,脑脊液正常或白细胞及/或总 [Q] Is nonspecific encephalitis viral encephalitis? [A] The official name of nonspecific encephalitis, at present should be sporadic encephalitis, the so-called distribution system for the epidemic. Sporadic encephalitis is the clinical diagnosis of the name, in fact, not a single disease unit, but by different causes of the syndrome. The clinical manifestations of this syndrome are: acute or subacute onset, may be associated with fever, often before the illness first upper respiratory tract infection or diarrhea symptoms, usually more diffuse lesions of the brain appear symptoms and signs, such as the spirit (Such as hemiparesis, brainstem, cerebellum), disorder (mainly silent, indifferent, unresponsive, laughing for no reason, abnormal behavior), incontinence, seizures, disturbance of consciousness and coma Or basal ganglia symptoms), individual with intracranial hypertension similar to brain tumors, EEG mostly showed diffuse high amplitude slow wave, normal cerebrospinal fluid or white blood cells and / or total