Encephalitis Cases

Jim           
  We live in Brisbane Australia. Our son Jim developed encephalitis at the end of February 1999. He had had a cold for about a month previous and had seen doctors 4 times who just said that it was a virus. About 3 days be-fore his fit he complained of a constant headache to us. Paracetamol was the treatment of choice of the GP we took him to. Our regular doctor wasn't available.

One night I noticed that Jim had lots of sweat on his forehead. I had also noticed that he wanted to walk much more slowly than normal. On the Monday morning at about 10 a.m. he was sitting quietly with my wife Marilyn on the sofa and said "look at that" and Jim just started to fit. My wife called out to the neighbor and phoned the ambulance. I was at work and had a feeling that I should phone home. The neighbour told me what was happening and I went to the hospital they were taking Jim.

In the A & E ward Jim was just coming out of uncon-sciousness and he could remember his name but not his address. He was put to one side to rest . I noticed that he moved his bottom jaw from side to side once slowly and then just fitted massively. There were then about 6 doctors looking at him! They gave him lots of injections of Valium and something to paralyze him, ventilated him and gave him a brain scan. The fitting must have lasted 40 minutes. there was nothing abnormal on the brain scan but they couldn't use a marker to show up areas of inflammation as it sets off asthma.

Jim was in intensive care after an hour or so and they had him on iv antiviral and antibiotics as they thought it was meningitis. They did a lumbar puncture and isolated an enterovirus in the spinal fluid. As the acyclovir was specific for only herpes they discontinued that and dis-continued the antibiotic soon after. Jim had no short term memory in the hospital which was fortunate as they were pretty Rough house with him with needles and blood tests and lumbar punctures. They released Jim from hospital 4 days after admission saying that physically he was OK and that in 2 to 6 weeks he would be back to normal.

They have revised the diagnosis to encephalitis with probably some meningitis too. Jim has short term memory problems and severe anxiety problems too still and the latest is that perhaps in a year or two he will be back to normal! Its so inexact. At the moment he has a cold again and we are so concerned for another seizure.

He wanted to return to school immediately. Indeed his biggest worry was about missing schoolwork. we started him on half days and then full days depending on how he felt. He copes with the classroom work but I wonder how well he will cope with learning type exams. For about the first month I slept in his bedroom as he was having disturbing dreams. He was very vocal and I could follow what was happening in the dreams. I once saw a UK tv programme where researchers showed that you could make suggestions to people in their sleep and the suggestions would be incorporated into the dreams. When Jim was in problematic situations with his dreams I suggested ways out for him and he calmed down and returned to good sleep again.

Jim still has problems in bed at night as he fidgets a lot and tosses and turns. I am able to calm him down by getting him to imagine that there is a big pool of white peaceful gas in front of his face and when he breathes in he sucks in the gas and when he breathes out he sends it down to around his bellybutton. When he has sent 4 or 5 lung full's of this white gas down to his belly it then seeps down to fill up his legs and then it fills up his chest and flows out to fill his fingers and arms. Finally he fills his head with the peaceful gas and he is asleep by this time. It may be that my monotonous boring voice telling him to breathe in and out actually bores him to sleep! but it has worked a few times on him, although he has used the phrase 'Tree hugging hippie " to me!

Reading our stories, I know how so many of you feel ,sufferers and carers. and It is so difficult, isn't it? Life is just turned upside down. I worry for the future for our son and hope that medical science progresses for us.

Norm Reynolds
Brisbane, Australia
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Posted: July 8, 2000
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