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Abstract: A 22-year-old young male patient presented with headache, confusion, nausea, and vomiting after a cold 3 months ago. The family thought it was a common symptom of the cold and did not take it seriously, but later developed drowsiness and was sent to the hospital and found to be suffering from viral encephalitis. After treatment, there was still significant neurological dysfunction, which was later diagnosed as post-viral encephalitis. After combined treatment of acupuncture and physiotherapy, medication and rehabilitation training, the condition improved.
Basic information】Male, 22 years old
Disease Type】Viral encephalitis sequelae
Hospital】Shandong Provincial Third Hospital
Time of consultation】January 2018
Treatment plan】Medication (brain protein hydrolysate + ginkgo extract injection) + rehabilitation training + acupuncture and physiotherapy (electrical stimulation)
Treatment period】Inpatient treatment for 14 days, outpatient follow-up after 1 month
Treatment effect】Stable condition and improvement of symptoms
I. Initial consultation
The patient had a cold 3 months ago and slept a lot at that time, so the family thought it was caused by the cold, but later they found that they could not wake up, and then they thought the condition was serious. The disease was serious, and the symptoms improved after infusion treatment, but there was still obvious neurological dysfunction. Currently, the patient speaks with a big tongue, has memory loss, cannot go to work, and walks shakily, and both the patient and the family are anxious. 3 months have passed since the onset of the disease, and they are worried that they cannot recover to come to the clinic. After a comprehensive assessment, the patient was considered to be suffering from the sequelae of viral encephalitis, and the current symptoms are related to brain cell damage. It is recommended to actively carry out medication treatment, and at the same time arrange rehabilitation assessment, carry out rehabilitation work, and cooperate with acupuncture and physiotherapy to promote neurological recovery.
II. Treatment history
The patient was admitted to the hospital and underwent cranial magnetic resonance examination, which showed abnormal signals in the right thalamus, suggesting multiple infarcts in the brainstem and cerebellum. Acupuncture and physiotherapy, and electrical stimulation to assist neurological rehabilitation. The patient was advised to take a balanced diet, perform daily rehabilitation work regularly and quantitatively, ensure good mood, and insist on training. At the same time, brain protein hydrolysate and ginkgo extract injection were given to nourish brain cells and improve brain metabolism.
III. Treatment effect
The sequelae of viral encephalitis are neurological dysfunction caused by damage to brain cells due to viral infection, and the damage to brain cells is irreversible, so different symptoms will remain after a period of treatment. The patient was discharged from the hospital after 14 days of inpatient treatment. The patient was advised to adhere to the treatment for a long time and to follow up with the neurology department regularly after one month.
IV. Precautions
After a period of treatment, the patient felt very relieved that the sequelae of viral encephalitis had improved, but it was still recommended that the patient should adhere to rehabilitation training because brain cell necrosis cannot be regenerated and only through long-term rehabilitation training can some functions be gradually improved, and six months after the onset of the disease is the effective rehabilitation period.
In addition, if patients have signs of neurological dysfunction after the onset of the disease, they must actively follow up with the hospital and insist on rehabilitation training to promote proper recovery of neurological functions. And usually, they should avoid staying up late, exertion, dieting, improper diet, pay attention to exercise, nutrition, improve immunity, and reduce the occurrence of colds and diseases. Once obvious clinical symptoms appear, you should seek medical attention immediately to avoid delaying the treatment of the disease.
V. Personal insight
The cold is not terrible, but the viral encephalitis inspired after the cold is terrible, this kind of central system infection disease will lead to neurological dysfunction, so usually in the course of life, should develop good habits, while improving their own immunity to reduce the occurrence of disease, once the symptoms of discomfort, to actively go to the hospital, rather than should not blindly self-judgment, resulting in aggravation of the disease.
The treatment of post-viral encephalitis requires active and long-term rehabilitation training and oral medication, as in this patient, after medication, rehabilitation training and physical therapy, so that the condition can be effectively relieved, but it is recommended that patients should persist for a long time to achieve maximum recovery of neurological function.