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Encephalitis

Encephalitis is inflammation of the brain that occurs due to infection, certain medications, insect bites, or the immune system not functioning properly. It can cause physical symptoms as well as mental confusion. In some cases, the symptoms may linger long after the inflammation has been treated.

Symptoms

The physical symptoms of encephalitis include:

  • Joint pain
  • Fever
  • Nausea
  • Muscle weakness
  • Headache
  • Neck stiffness

The neurological symptoms of encephalitis include:

  • Light sensitivity
  • Confusion
  • Behaviour changes
  • Loss of consciousness
  • Trouble with memory
  • Difficulty with speech and movement

Causes & Risk Factors

Encephalitis can be caused by viruses like herpes, human immunodeficiency virus (HIV), and any viruses that ticks carry. This is called viral encephalitis and is the most common type of encephalitis. It can also be caused by an attack on the brain by the immune system. This is known as autoimmune encephalitis. Rarely, bacterial infection and parasite invasion can cause encephalitis.

Risk factors for encephalitis include:

  • Age – young children and the elderly are the most at risk for severe outcomes
  • Weak immune system – anyone with an immune disorder is at a greater risk for severe encephalitis
  • Season of the year – mosquitos and ticks tend to be more active during the warmer months
  • Smoking

Diagnosis & Complications

Your doctor may decide to do further tests for encephalitis based on your medical history and physical exam findings. These tests can include:

  • Brain imaging – a computerised tomography (CT) scan can help your doctor see your brain
  • Spinal tap – a needle will remove some cerebrospinal fluid (CSF) from the base of your spine. CSF protects the brain and the spine, and changes in the CSF may indicate an infection of the brain.
  • Electroencephalogram (EEG) – monitoring the electrical activity of the brain may give your doctor clues as to what’s going on
  • Lab tests – Your doctor may want to test your blood for proteins the body produces in response to infection

Complications of encephalitis are not common and depend on the age of the person and the severity of their infection. They are more likely to occur if encephalitis is left untreated. Complications may include:

  • Fatigue
  • Inability to coordinate movement
  • Changes in personality
  • Vision or hearing loss
  • Trouble with speech
  • Memory loss

Treatment & Management

Treatment for encephalitis is rest, high fluid intake, and medication to manage any pain. If you have a case of viral encephalitis, you will also be given antiviral medication. If you have a case of autoimmune encephalitis, your doctor will give you medication to stop the immune attack on your brain. Treatment for autoimmune encephalitis can be long-term.

Those with severe cases of encephalitis will receive supportive care, including assistance with breathing and other basic bodily functions, anti-inflammatory medication, and anti-seizure medication, if necessary.

If you experience a case of severe encephalitis, therapy may be necessary after the infection has been treated. This may include physical therapy, occupational therapy, speech therapy, brain exercises, and counselling.

Rehab can help with the lingering symptoms of encephalitis that stay even after the infection is gone. These often include trouble concentrating, constantly being tired, mood swings, trouble with memory, changes in personality, and trouble walking.

Prevention measures such as maintaining good hygiene and staying up to date on vaccinations can go a long way toward preventing encephalitis. You may also want to ask your doctor about getting the vaccines for tick-borne encephalitis and Japanese encephalitis if you’re travelling to areas where these are common diseases.

 
 
 

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