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Intracranial infections cause epilepsy with fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Epilepsy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I would like to ask if fever effects brain. Patient getting feet. What is reason for same. We have taking MIR & report is showing normal.
she had fever two three days back. any suggestion she is 11 yrs old. Chi-led specialist is giving treatment but still their is no any development. Please suggest?
Doctor :   Hi
User :   hi Good morining Dr.
Doctor :   Infections can affect brain.
Doctor :   Can you describe her symptoms, so that I can give you a much better/appropriate answer?
User :   she gets feet, teeth jammed, she is fever up to 99 degree,
User :   dr given injection gardenal.
Doctor :   you mean fits?
User :   yes dr.
Doctor :   Does she have fits(convulsion) problems in the past?
User :   No.
User :   first time
User :   she have fever before four days
User :   we take pills from local dr.
Doctor :   Ok
Doctor :   Is she conscious?
User :   before yesterday she gets unconscious but now its OK she conscious now. but till she gets fits in between 6 to 7 hrs.
User :   I would like to know what is reason for fits?
Doctor :   Ok
Doctor :   Let me brief you,
User :   Pleas
Doctor :   Yes, fever can cause fits, described as febrile seizures.
Doctor :   But such condition is fairly uncommon after the age of 5.
User :   ok
Doctor :   Since your daughter is 11 years, its important that an intracranial infection is ruled out.
User :   So now we are taking treatment with Chi-led Specialist. Is this case should handled by Any other spl. dr.
Doctor :   She will need appropriate antibiotics probably in the injection forms with fits medications.
Doctor :   A child specialist along with a neurologist or a single paediatric neurologist will be able to treat her.
Doctor :   I would recommend treatment at an hospital than at home in such cases.
Doctor :   And I hope your daughter is hospitalised now.
User :   Yes dr.
User :   But still their no any development in fits.
User :   once she gets fits dr. gave her injection gardenal
Doctor :   Gardenal injections are good for the treatment of fits, but the sign of improvement is reduction in fever.
Doctor :   Hence, as long as she has fever, its would be ideal that she stays in the hospital.
Doctor :   It can be an intracranial infection.
User :   you state above its due to fever also. is this case of fever affected to brain?
Doctor :   Let me put it across in simple words.
User :   please dr.
Doctor :   As mentioned earlier, fever leading to fits alone is not common in above 5 years age child.
Doctor :   Above 5 years, fits with fever can be due to infection of the brain and its surrounding fluid(CSF).
Doctor :   Intracranial infections can be life threatening condition.
Doctor :   hence proper treatment early is very essential in preventing the complication.
User :   ok! Dr. suggested us for taking water from back & check is any infection to brain. is it ok?
Doctor :   hence is ideal that your daughter is hospitalised, treated with injectable antibiotics.
User :   yes!
Doctor :   Yes, CSF examination in which a fluid is removed from the back will diagnose if there is an infection of the brain.
User :   As you state above Dr. should consult with Nero specialist? in this case.
Doctor :   A paediatrician is well trained to handle the situation.
Doctor :   But if you are looking for a super specialist, then paediatric neurologist is the choice.
User :   ok!
Doctor :   Alternatively, a pediatrician along with neurologist can also do.
Doctor :   Have you followed what I have suggested?
User :   yes! Thanks for your suggestions. Thanks Dr.
Doctor :   Thanks for consulting me. Bye for now.
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