Recently Answered Questions
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My son is short-tempered. How to reduce his anger?
Query: Hi doctor, My son is very aggressive and sensitive, short temper, and gets panicky, hyper, and angry quickly. He could not listen to any good suggestions or guidance. He does not have mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is p... Read Full »
Answer: Hi, Welcome to icliniq.com. Your son suffered from viral encephalitis at a very young age, which could have been a significant insult to the growing brain. The irritability and anger outbursts are a result of post-encephalitis sequelae. It can be controlled with medications. I suggest tablet Oxeto... Read Full »
What condition can cause neck stiffness, severe headaches, leg weakness, and hand tingling?
Query: Hi doctor,Actually, my father has diabetes mellitus, hypertension, psoriasis, and psoriasis arthritis. For few days, he has neck stiffness, sudden severe headache. The pain usually starts from the back of the head or temple side. Pain starts anytime throughout the day. He complains of weakness in th... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms that you have mentioned about your father suggests brain infection or meningitis or encephalitis, or cerebral vascular accident (CVA), which means either bleeding from the vessels or blockage in the vessels. The good thing is that the most lethal out of th... Read Full »
My dad is in coma now. What will be the prognosis?
Query: Hello doctor, My dad is suffering from japanese encephalitis viral disease (JE) and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition? Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. There is considerable variation in the incidence and severity of sequelae in patients surviving viral encephalitis. The incidence and severity of sequelae were directly r... Read Full »
I suffer from HSV 1. Can I get HSV encephalitis at any point in my life?
Query: Hi doctor,I am suffering from HSV 1. I have a mild recurrence on my mouth and face. Will I get HSV encephalitis at any point in life? My immune system is healthy and I do not have many blisters. Read Full »
Answer: Hello, Welcome to icliniq.com. Infection with HSV 1 (herpes simplex virus) results in immunity against it. But, the virus remains dormant in the body and can reactivate later in life causing encephalitis if it enters the brain. How it can come to the brain is not completely understood, but decreased... Read Full »
Other than cochlear implant, is there any treatment available for hearing loss due to encephalitis?
Query: Hello doctor, My 2-year-old son got encephalitis 40 days back, and he was discharged in five days from the hospital. He recovered very well. We noticed hearing loss from one month. BERA test report shows profound hearing loss, but MRI and CT are fine. My doctor suggested a cochlear implant. But we w... Read Full »
Answer: Hello, Welcome to icliniq.com. Surviving encephalitis is like getting another life, given its drastic complications. But the risk of developing long term complications often creates problems. Hearing loss occurs in approximately 2 to 4% following brain infection. It was rightly detected with BERA (b... Read Full »
How to manage herpes encephalitis?
Query: Hi doctor, My brother had COVID-19, and it developed into encephalitis. The neurologists are saying it could be viral or limbic. We wonder if you can help diagnose if we sent you the MRI images and laboratory reports. His symptoms are confusion (he thinks that his kids are his brothers), hallucinati... Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to know regarding this problem that your brother is facing. After reading the history and checking his reports (attachment removed to protect patient identity), viral encephalitis is more likely given the MRI images. And the hallucination and psychosis are because... Read Full »
Should I take Acyclovir medicine for asymptomatic HSV-1 IgG positive results?
Query: Hello doctor, I am a 35 year old male. I weigh 68 Kg and my height 5'5". I am in a healthy status. History: No episodes of herpes except chickenpox in childhood. No infection of HIV - clinically tested every 6 months since last 7 years. I am straight and only 1 relationship with spouse. Both me and ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for providing all the details. I shall answer your questions one by one. 1. As you have mentioned that you do not have any symptoms at the moment, there is no need to take Acyclovir. 2. A repeat test can be done just for your reassurance. Chances of false positi... Read Full »