Encephalitis: Difference between revisions

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* Hallucinations
* Hallucinations
* Memory problems
* Memory problems
An infant may present with;
An infant may present with; <ref>Armangue T, Petit-Pedrol M, Dalmau J. Autoimmune Encephalitis in Children. Journal of child neurology. 2012; 27 (11): 1460–1469.</ref>
* Irritability
* Irritability
* Poor appetite
* Poor appetite

Revision as of 12:37, 22 November 2020

Introduction[edit | edit source]

Encephalitis is a very severe infection caused by the inflammation of the brain tissues. When encephalitis occur with meningitis, it is called meningoencephalitis. It is caused either as a direct infection or a sequela of a pre-existing condition. [1]

Causes[edit | edit source]

Encephalitis is caused by any of the following factors; [2]

  • Viral infection, e.g rabies virus, HSV, poliovirus, mealses virus, bunyavirus, reovirus, etc
  • Bacterial infection, e.g mycoplasma, Lyme disease, Bartonella henselae, malaria, etc can result in encephalitis especially in immuno-compromised individuals.
  • Autoimmune disorders
  • Some types are of unknown aetiology

Clinical Presentation[edit | edit source]

An adult infected with the disease typically present with;

  • Headache
  • Confusion
  • Fever
  • Drowsiness
  • Fatigue
  • Seizures or convulsions
  • Tremors
  • Stroke
  • Hallucinations
  • Memory problems

An infant may present with; [3]

  • Irritability
  • Poor appetite
  • Fever

Diagnostic Procedures[edit | edit source]

Encephalitis can be diagnosed using any of the following procedures;

  • Magnetic Resonance Imaging (MRI) to detect the inflammation
  • Electroencephalography (EEG) to monitor the electrical activity of the brain
  • Lumbar puncture (spinal tap)
  • Urine analysis
  • Blood test

Medical Management[edit | edit source]

  1. Antiviral medications (for viral infection)
  2. Antibiotics (for bacterial infection)
  3. Steroids
  4. Sedatives
  5. Acetaminophen

Physiotherapy Management / Interventions[edit | edit source]

  1. Exercise therapy
  2. Gait rehabilitation
  3. Manual therapy
  4. Passive motion procedures

Differential Diagnosis[edit | edit source]

  1. Leptospirosis
  2. CNS vasculitis
  3. Meningoencephalitis
  4. Stroke
  5. Meningitis
  6. Subdural empyema
  7. Meningeal carcinomatosis

Resources[edit | edit source]

add appropriate resources here

References[edit | edit source]

  1. Kennedy PGE. Viral Encephalitis: Causes, Differential Diagnosis, and Management. Journal of Neurology, Neurosurgery & Psychiatry. 2004;75 (suppl 1): i10–i15
  2. Larner AJ. Neuropsychological Neurology: The Neurocognitive Impairments of Neurological Disorders. 2013. Cambridge University Press.
  3. Armangue T, Petit-Pedrol M, Dalmau J. Autoimmune Encephalitis in Children. Journal of child neurology. 2012; 27 (11): 1460–1469.