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Encephalitis

 

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Key Points

Encephalitis is an inflammation of the brain. 

It may be caused by viruses, bacteria, fungi, or auto-immune processes.

Treatment is usually supportive and anti-inflammatory, with antibiotics or anti-fungals as necessary.

Prognosis depends on the severity of the disease and the response to therapy.

 

 

brain anatomyWhat is encephalitis?

  • Encephalitis is an inflammation of the brain. 

 

Causes

  • Viruses that can cause encephalitis can be introduced by mosquitoes, ticks, other insects, or through contact with other animals or their bodily fluids.
  • Bacteria and fungi, rarely causes of encephalitis, may travel up nerves, or may be carried to the brain by the bloodstream from another site in the body.
  • Often, the cause is an auto-immune disease process whereby cells of the immune system attack parts of the brain, e.g. granulomatous meningo-encephalomyelitis.

 

Clinical Signs

  • Lethargy
  • Confusion/ behavioral changes
  • Seizures
  • Fever
  • Vomiting
  • Tremors/convulsions
  • Stiff neck

 

Diagnostics

  • The Veterinary Neurologist will evaluate physical, behavioral, and neurological abnormalities to make a preliminary diagnosis. 
  • In order to confirm a diagnosis of encephalitis blood tests as well as a cerebrospinal fluid tap will need to be performed. 
  • Your pet will be placed under general anesthesia for the spinal tap and will not experience any pain.
  • In some cases an electroencephalogram is performed to evaluate the brain waves.

 

Treatment

  • As there is no drug that can eliminate a virus, treatment consists mostly of supportive and nursing care.  Medications may be given to control any pain associated with the encephalitis, in addition to anti-inflammatory drugs. This same treatment is used for auto-immune forms of encephalitis.
  • For bacterial or fungal encephalitides, the appropriate treatment also includes antibacterial or antifungal medications.
  • Some pets may require hospitalization initially for supportive therapy, e.g. intravenous fluids, or for control of seizures.

 

Prognosis

  • Prognosis depends on the severity of the disease.  The disease may be life-threatening. In some cases there may be residual neurologic damage.  Many animals return to a happy normal life.

MVS Neurology and Neurosurgery Team

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