How is encephalitis treated?

Written by Zhang Hui
Neurology
Updated on June 20, 2025
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The treatment of encephalitis first and foremost involves targeting the pathogen, which includes comprehensive antiviral treatment. After thorough antiviral therapy, the virus can be killed, and the symptoms of encephalitis can fundamentally be alleviated.

Secondly, the use of corticosteroids can be combined. Corticosteroids help to suppress inflammatory responses, inhibit excessively activated immune dysfunction, and can reduce cerebral edema, which is beneficial for the recovery from the disease.

Third, symptomatic treatment is necessary. If an encephalitis patient experiences symptoms like intracranial hypertension, headache, nausea, and vomiting, some dehydrating drugs to reduce intracranial pressure are needed. If the headache is severe, appropriate symptomatic treatment drugs should be administered.

Fourth, it is important to prevent complications. For example, encephalitis often also causes damage to the liver and heart. It is crucial to protect the liver and heart and also to prevent complications such as electrolyte disorders.

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Written by Zhang Hui
Neurology
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After-effects of encephalitis

Some more serious types of encephalitis may leave sequelae. For example, common ones like herpes simplex viral encephalitis and epidemic encephalitis B. A minority of patients may suffer from certain degrees of sequelae, which typically include the following aspects. Firstly, some patients may experience secondary epileptic seizures, which present with loss of consciousness, limb convulsions, incontinence, and frothing at the mouth. These symptoms might require long-term oral medication for epilepsy. Secondly, another consequence of encephalitis is cognitive impairment in patients, characterized by significant reductions in computational ability, memory, and executive function. Additionally, some forms of encephalitis might leave patients with psychiatric symptoms, such as speaking incoherently.

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Written by Zhang Hui
Neurology
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Symptoms of encephalitis in children

Encephalitis in children is generally caused by viral infections, leading to inflammation that naturally results in symptoms like fever. Thus, fever is the most common symptom of pediatric encephalitis, with some body temperatures reaching extremely high levels, even above 40 degrees Celsius. Additionally, patients also experience significant headaches, nausea, and vomiting due to inflammation or increased intracranial pressure. Furthermore, patients often feel discomfort in the occipital and cervical regions, which is a sign of meningeal irritation. If the encephalitis symptoms are very severe, severely affecting the cerebrospinal fluid, the patient may even experience limb paralysis, epileptic seizures, limb convulsions, and frothing at the mouth. Some patients also suddenly exhibit cognitive dysfunction, becoming dull in response, with noticeable impairment in attention, memory, calculation, and judgment abilities. Some children may exhibit psychological symptoms and must receive timely treatment.

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Written by Zhang Hui
Neurology
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What are the symptoms of encephalitis?

The clinical manifestations of encephalitis are complex and varied, primarily caused by infections from pathogens such as viruses and bacteria. There are numerous clinical symptoms, with fever being quite common; patients generally exhibit significant fevers, which can reach up to 38 degrees Celsius or even as high as 40 degrees Celsius. Headache is also a very common clinical manifestation of encephalitis, with some patients experiencing severe headaches accompanied by pronounced nausea and vomiting. Additionally, some patients may exhibit psychiatric symptoms, which mainly include incoherent speech, hallucinations, and failing to recognize family members. Some patients may experience cognitive impairments, such as diminished memory, and significant deficits in computational and judgment abilities. In severe cases, some patients may have epileptic seizures, characterized by convulsions of the limbs. Overall, the manifestations of encephalitis are diverse and can range from simple fever and headache to severe conditions such as psychiatric symptoms, cognitive impairments, and epilepsy.

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Written by Tang Bo
Neurology
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How is a brain encephalitis puncture performed?

The encephalitis you mentioned is considered a central nervous system infection. In this case, a definitive diagnosis requires a lumbar puncture, which you referred to as a puncture. The lumbar puncture requires the patient to be in the lateral recumbent position, then the puncture is performed in the interspaces between L1-L3 or L4-L5 on the back to collect cerebrospinal fluid and conduct tests. This also allows for the examination of pathogens and pressure measurements. After the lumbar puncture, the patient needs to lie flat for six hours with a pillow removed to prevent headaches due to low cranial pressure.

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Written by Zhang Hui
Neurology
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Does encephalitis cause a runny nose?

Encephalitis can potentially cause a runny nose, as it is mainly caused by viral infections. These infections not only invade brain cells, leading to symptoms such as fever, headache, nausea, vomiting, and even seizures related to the nervous system, but can also affect the respiratory tract. If these viruses accumulate in the respiratory tract, particularly in the nasal mucosa, they will definitely cause symptoms such as a runny nose, cough, expectoration, and sore throat. Therefore, it is evident that patients with encephalitis can exhibit symptoms of upper respiratory tract infections. Moreover, some patients initially present with respiratory symptoms, such as a runny nose, before the viruses enter and infect the brain cells. Patients with encephalitis must receive timely treatment, primarily symptomatic treatment to prevent complications, along with antiviral medication for targeted treatment. Most patients have a good prognosis.