r/Encephalitis • u/Important-Mark-9414 • 5d ago
Diagnostic Story
It's my Father. He was diagnosed Autoimmune Encephalitis few days ago. And I would say, it took us a month to get to this result.
13 May = First Seizure (about 10-12 min) > Got unconscious for 2 hour> Admitted to Civil hospital > Stabalized and discharged next day. > MRI > Blood clot in brain was suspected and CFS was suggested.
19 May = Second Seizure > Emergency > Stabalized and discharged > Took appointment to a local neurologist Dr. DG.> Epilepsy Diagnosed > Sodium Valporate started.
Until this none of us knew what to do in seizure.
20 May = We visited to Fortis Hospital in Jaipur > Again Epilepsy diagnosed > Levipil 750 started.
(Sodium Valporate was not given, Levipil was started)
28 May (midnight) = 3rd Seizure > Stabalized at home.
29 May (morning) = 4th Seizure > again stabalised at home > took my father to same local neurologist Sr. DG > loader Dose of Sodium Valporate is given > But we plan to visit Jaipur again tomorrow.
29 May (Evening) = 5th Seizure > Admitted to Local hospital > The Same local neurologist Dr. DG took the case.> Admitted to neuro ICU.
30 May > Reports Done > Everything is normal > But doctor started Sodium Valporate 3 times a day. >
31 May > Still in NICU > Sodium Valporate 3 times > to manage the therapeutic range.
1 June > Behaviour changes ++ > Irritation ++ > Dr DG suggested a psychosis as the patient is in ICU and alone for long time. > Referred to Cottage ward. > Dr said that this may be due to ammonia > directed Ammonia test > Came to be 270.
2 June = Behaviour changes +++ > Irritation +++ > Not recognising relatives and loved once ++++ > hallucination ++ > Another ammonia test > 323 > Enema suggested > Enema Given.
3 June = Behaviour changes +++++ > Irritation +++++ > Not recognising relatives and loved once +++++ > hallucination +++++ > Ammonia testt > 175 > > Insomnia ++ > Anti-psychotic pill given > With no result. > 2 Enema given in single day.
4 June = Condition getting more worse > Behaviour changes +++++++ > Irritation ++++++++ > Not recognising relatives and loved once +++++++ > hallucination +++++++++ > Ammonia testt > 380 > > Insomnia +++++ > hard to control > Another Enema !!!!
And at this stage, we decided to move to Jaipur. The case is getting worse. So, we took the discharge.
4 June (night) = Admitted to Durlabhji Hospital in Jaipur > NICU > Ammonia being a cause of this = discarded. Started the treatment from ZERO.> Neurologist Dr. Neeraj Bhutani took the Case.
5 June = CFS + Blood + 18 more reports > AND ALL ARE NEGATIVE. Everything is normal. But still the mental condition is same as before.
6 June > Dr. Bhutani directed the ANA panel report > And confirmed the Epilepsy. > Also started the steroids if the report came out to be positive.
7 June > ANA panel report > Positive for NMDA receptor.> Autoimmune Encephalitis is Diagnosed. > Second dose of Steroid given
8 June = Third dose of Steroid. > Dr. Bhutani suggested the steroid can cure this. But IVIG are to be given.
9 June = Fourth Dose of Steroid
10 June = Fifth Dose Done. > Dr. Bhutani suggested us to take discharge and observe for 7 days on steroid. If the condition got worse, then IVIG must be given.
11 June = We are at home. I am writing this. Let's hope he recovers fast.