Encephalitis is a fairly uncommon but serious infection that affects the brain. It can happen in children of all ages.

Causes

Encephalitis is an infection of the brain. It can be caused by several organisms, especially viruses. The most common include Herpes simplex, the chickenpox virus (varicella), the measles virus and the glandular fever virus (Epstein-Barr virus).

The Herpes simplex virus might attack the brain directly. The others might start as an infection somewhere else in the body and then progress to cause an infection and swelling in the brain.

Symptoms

Encephalitis usually comes on very suddenly. A child with encephalitis develops a fever, becomes lethargic, is generally unwell and might be vomiting. An older child might complain of a severe headache. Without treatment, the illness can progress, causing convulsions and weakness of one side of the body. It might eventually lead to coma.

When to see your doctor

You should see a doctor if your child has:

  • an unexplained fever and is generally unwell
  • chickenpox, measles or glandular fever and starts to complain of severe headaches, or suddenly appears to be very drowsy.

Treatment

Your child will be admitted to hospital if he has encephalitis. In hospital, he might be given specific antiviral medications, which can be helpful sometimes. He will also be cared for and monitored carefully.

If the encephalitis is severe, especially in younger children, there might be complications such as muscle weakness or speech problems. These might need to be treated.

Prevention

Make sure that your child is fully immunised. This will help to eliminate some of the possible causes, such as chickenpox and measles.

 
 
  • Last Updated 29-06-2011
  • Last Reviewed 20-04-2011
  • Curtis, N., Starr, M., & Wolf, J. (2009). Infectious diseases. In K. Thomson, D. Tey & M. Marks (Eds), Paediatric handbook (8th edn, pp. 380-421). Melbourne: Wiley-Blackwell.Prober, C.G. (2007). Central nervous system infections. In R. Kliegman, R. Behrman, H. Jenson & B. Stanton (Eds), Nelson textbook of pediatrics (18th edn, pp. 2512-2523). Philadelphia: Saunders Elsevier.Bernard, T.J., Knupp, K., Yang, M.L., Arndt, D., Levisohn, P., & Moe, P.G. (2009). Neurologic and muscular disorders. In W. Hay, M. Levin, J. Sondheimer & R. Deterding (Eds), Current diagnosis and treatment: Pediatrics (20th edn, pp. 696-777). New York: McGraw-Hill.Levin, M.J., & Weinberg, A. (2009).Infections: Viral and rickettsial. In W. Hay, M. Levin, J. Sondheimer & R. Deterding (Eds), Current diagnosis and treatment: Pediatrics (20th edn, pp. 1107-1147). New York: McGraw-Hill.Mayo Foundation for Medical Education and Research (2010). Encephalitis. Retrieved January 13, 2011, from http://www.mayoclinic.com/health/encephalitis/DS00226.

A-Z Health Reference