Convulsive symptoms in children with encephalitis?

summary

Acute viral encephalitis (vrius encephalitis of child) refers to the primary encephalitis caused by the direct invasion of the brain parenchyma by virus. The disease occurs throughout the year, so it is also known as sporadic encephalitis. The common viruses causing encephalitis are enterovirus, simple cytomegalovirus, Myxovirus and other viruses. The main clinical manifestations are the symptoms of brain parenchymal damage and intracranial hypertension, such as fever, headache, vomiting, convulsions, and coma in severe cases. However, due to the location and scope of the virus invasion, the severity of the disease may vary, and the forms are also diverse.

Convulsive symptoms in children with encephalitis?

Infection symptoms: such as fever, general discomfort, myalgia and sore throat, which can range from several weeks to several weeks. In some cases, fever may occur suddenly, and white blood cells may be normal or increase to (15-30) × 109/L。

Meningeal irritation sign and cerebrospinal fluid changes: normal or increased cerebrospinal fluid pressure, white blood cells increased to (10-500) × 106 / L, a few (1000-1500) × 106 / L, mainly lymphocytes. In the early stage of arbovirus encephalitis, neutrophils are the main component. Sugar is normal or slightly higher, a few can be reduced. 5-1 g / L, and there were red blood cells in the cerebrospinal fluid of HSV encephalitis. Cerebrospinal fluid can be completely normal in a few cases of acute viral encephalitis.

The symptoms of localized or diffuse encephalitis include mental symptoms, delirium, coma and other disturbance of consciousness, convulsion, aphasia, strong grip, sucking reflex, hemiplegia. The tendon reflex was asymmetric and the pathological reflex was positive. Brain damage includes cerebral palsy and autonomic nervous system dysfunction. Cerebellar lesions include nystagmus, ataxia, and dyskinesia.

matters needing attention

Maintain nutrition, pay attention to skin cleaning, prevent bedsore. The patients with mental disorders, especially those with agitation, should be protected to prevent exhaustion, self injury and personal injury. For dementia, aphasia and paralysis cases, patient guidance, help patients with functional exercise, prevent limb contracture.