Abstract
Encephalitis
an acute inflammatory disease of the brain due to direct viral invasion or to
hypersensitivity initiated by a virus or other foreign protein with dysfunction
of brain. Allopathic system antiviral medications only work on a limited number
of viruses.
Homoeopathy is effective both in the
prevention and treatment of
Encephalitis,
A confirmed and failed case which was brought to the hospital with hopeless
condition, was treated successfully in Govt homoeo hospital Hyderabad with Stramonium
Keywords: Encephalitis, epidemic, latent
psora, Stramonium
Encephalitis an acute
inflammatory disease of the brain due to direct viral invasion or to hypersensitivity initiated by
a virus or other foreign protein with dysfunction of brain.
Encephalitis
was described in 1871.In India first epidemic was noted in 1955, at Tamilnadu. It is endemic in A.P, Karnataka, West Bengal, U.P & northeastern
states. According to national institution of virology Pune half of the
population in south India had neutralizing antibodies to virus. It is
not unusual to have epidemics of viral encephalitis mainly Je Encephalitis post monsoon season from
almost all states of the country barring a few northern Indian states.JE
virus is the only causative virus for these epidemics.
Encephalitis may be a primary manifestation or a
secondary complication of a viral infection. Viruses causing primary Encephalitis may be epidemic
(arbovirus, poliovirus, echovirus, and coxsackievirus) or sporadic (herpes
simplex, varicella-zoster, and mumps viruses). Mosquito-borne arboviral
encephalitides (St. Louis, eastern and western equine, and California) infect
humans only during warm weather. JE is a seasonal disease that occurs during
the monsoon and post-monsoon periods between August and December, when stagnant
water breeds mosquitoes (culex variety), which transmit the virus from pigs to
human beings. Infected insects (such as mosquitoes or ticks) and animals, which
can transfer some viruses directly into the bloodstream via their bite.
The deadly Japanese Encephalitis exhibits a particular pattern by striking every
alternate year. It is commonly seen in children, with incubation period of 7-16
days, the child develops non specific prodromal symptoms that is fever,
headache, altered sensorium, seizures focal signs and symptoms of meningial
irritation and IICP. Lasting 2-3 days, neurological symptoms begin suddenly
with increasing deteriorating levels of consciousness and generalized
convulsions and some focal neurological signs of raised ICP, Patients run the
risk of slipping into a coma. Invasion
of the brain is likely to result in neuronal necrosis, frequently with visible
inclusion bodies. In Para infectious and post infectious encephalomyelitis,
perivenous demyelinating lesions are characteristic.
The symptoms of JE Encephalitis include:
Headache-62.4%, Altered sensorium, Fever, focal S/S ,Convulsions,
Meningial-sign, Motor deficiencies , Cranial nerve involment , pyramidal signs
Aphasia, Involuntary movements and Coma.
In Allopathic system antiviral medications
only work on a limited number of viruses. Treatment aims to reduce the severity
of the symptoms and Vaccination is the only protection against Japanese Encephalitis virus infection.
Homoeopathic concept: homoeopathy is effective both in
the prevention and treatment of Je, A suspected confirmed and failed case was
treated in Govt homoeo hospital Hyderabad. All the acute cases are due to
explosion of latent psora. Acute miasm is a disease producing power, which
causes acute, specific, infectious epidemic diseases having almost fixed
manifestations. Master Kent defines acute miasm as “An acute miasm is one that
comes upon the economy, passes through its regular prodromal period, longer or
shorter, has its period of progress and period of decline and in which there is
a tendency to recovery”.
A case report of JE
Encephalitis
MA.AR, aged 13m, sex: m, IP: Case
Was brought to the hospital with hopeless
condition on 16.9 with following presentation: Fever with convulsions, shaking of right. Upper limb and right.
Lower limb, up rolling of eyes, vacant look.
History of presenting illness:
History of Past illness:
Birth was by cesarean section.
Family History: H/O convulsion in father’s family [1st
cousin]
Treatment History: Took allopathic treatment in a nursing
home for a weak with out any relief.
Physical examination:
O/E—pupils dilated, rolling of eyes, Doll’s
eye reflex-+ve
Deviation of mouth to right side,
Decerebrate posture (glassco coma scale 6).
Cranial nerves----deviation of mouth to
right side.
Motor system—tone increased in both sides,
power is more in upper limbs
DTR- -absent, Signs of meningeal
irritation+.
P/A: abdomen soft, Hepatmegaly +ve,
Investigations:
CBP: (27/8/98)
WIDAL TEST:
(26/8/98)
Poly
O: 1:80
S.Tyhpi H : 1:80
S.Tyhpi AH :1:80
S.Tyhpi
BH: 1:80
C S F: (27/8/98)
Glucose: 59 mg/dl ., proteins
:8.4 mg/dl,
Gram
stain: no microorganisms, occasional inflammatory cells,
Blood Chemistry
(27/8/98)
RBS:
78mg/dl, S Calcium: 9.2mg/dl
S.creatinnnie:0.
5mg/dl, total proteins: 6.3 G/dl, Albumin: 3.8 G/dl, Globulin: 2.5 G/dl
Billrubine
total: 1.6 mg/dl, Billrubine direct: 0.5 mg/dl, sodium: 143mEq/L,
Potassium:4.7 mEq/L, SGPT: 23
IU/L ,Alk Phosphatase : 280 IU/L,
Prothrombin
time: 17 sec, A/G ratio: 1.5:1
CT SCAN
(contrast)(27/8/98):
mild changes of focal cerebral atrophy in Fronto-parital
Regions
on both sides
Blood Chemistry
(29/8/98)
RBS:120 mg/dl, sodium:142mEq/L, Potassium:4 mEq/L,
Diagnosis:
was based on pyrexia, absence of rash, epidemic, altered sensorium and
asymmetrical symptoms. In this year (1998) 524 cases were reported in AP, with
case fatality rate 38.36 in 1998.
Signs Symptoms taken
for prescription:
High fever with convulsions & chills
Shaking of rt. upper limb and rt. lower limb,
Up rolling of
eyes,
Vacant look
Restless sleep,
Pupils dilated,
Cerebral irritation,
TREATMENT:
Selection of remedy:
16/09: Belladonna 200C
(in water 3 it’s, every 4th hourly was
(in water 3 it’s, every 4th hourly was
Given)
Progress
of the case after [24 hours]
Temperature came down on 2nd day, pupils were still
dilated, convulsions occurred at 8 PM, 10.30PM, 12AM- 4.30AM &
7.30AM-10.30A.M
Bowels &Urine: N, Moving the mouth to
side, jerks in upper right & right lower limb,
and Jerking in sleep were present. Extreme muscular mobility Pupils
widely dilated twitching and jerking of the arms and lower limbs Deep sleep,
comatose somnolency, Coldness of whole body, especially of limbs, < Dark, Constant restless movements of
all limbs and the whole body. Perspiration with fever,
Stramonium, was selected on 18/09
Stramonium
0/1 was given in water every 6th hourly
Progress
after Stramonium
19/09:
Jerks persisted; Stramonium 0/1 in water was continued,
20/09:
As child was able to swallow fluids nasal feeding was stopped, jerks reduced in
intensity, child was still restless, excessive crying
On
5th day i.e. on 23/09 Stramonium was stopped, as jerks stopped.
Progress after Stramonium [5 th day]
Involuntary
jerky movements of right extremities disappeared, pupils started reacting to
light, and restlessness & crying stopped,
Verbal
response ++, bowels: N, urine: N. DTR -RT
(biceps, triceps, knee &ankle) ++
LT -N,
Rubrum was given for the next seven days.
Conclusion:
Still few people have
misconceptions on homoeopathy that in emergencies homoeopathy has no role; this
case which treated in homoeopathic hospital is an eye opener to the critics.
This is a given up case treated with homoeopathic medicines the case was
followed for four years , case initially was treated for seven days in a
private nursing home, sifted to our hospital. Case recovery was miracle, but
child couldn’t escape the permanent cerebral sequelae.
References:
1)
Rastogi & Sharma V.D, study of homoeopathic drugs in Encephalitis Epidemic
(1991) in Utter PradeshCCRH Quarterly bulletin, vol 14, (3&4) 1992.
2)
Harinadham.K, Je Encephalitis and Homoeopathy, journal of Indian systems
of medicine and homoeopathy, vol-1,
Jan-mar 2000, commissionerate of Indian medicine & homoeopathy, Govt of
A.P.
3)
Kapoor, face encephalitis with confidence, journal of the HMAI, VOL 111,
NOS
3-4, 1979, HMAI Publication.
4)
Lakshminarayana & Chalapathy, Belladonna in brain fever or Encephalitis,
Hahnemannian Gleanings, vol XL.V11, no6, June 1980,
5) Behr man, Klieg man, Jenson, Nelson, text
book of pediatrics, 16ted,
Harcourt Asia ple Ltd.
*** published in NJH,Vol 8,no 6,Nov-Dec 2006
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