A Clinical case of Possible Rabies Encephalitis

There are many clinical cases which can only be provisionally diagnosed based on the clinical findings & limited supportive Investigative reports. Dr. Saumya H Mittal presents a case of Rabies Encephalitis in which MRI was the only supportive investigation to provisionally diagnose the case. Share your views on this case Follow us for more such updates!

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Yeah Rabies encephalopathy is fast developing eventually ending in death with in 48hrs to 72 hrs of diagnosis inspite of any treatment modalities

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VERY USEFUL AND NICELY UPDATED.. THANKS. DR

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Nicely complied and comprehensive observations and informative video. Thanks for elobrating and sharing.

Thanks Dr Dinesh Gupta
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Nice Elboration with Useful Update

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Thanks doctor

Excellent presentation

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Thank u doctor

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I am agree with@Dr. Parveen Yograj Sir

Thank you Ma'am@Shariya Ansari.
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अति महत्वपूर्ण एवं उपयोगी जानकारी हेतु आभार व्यक्त करता हूं।

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An Excellent clinical presentation of a case of Possible Rabies encephalitis by Dr Saumya H Mittal . Neurology has always been a tough subject for general practitioners - but it was a perfect way - how to approach a case of Neurology with step by step clinical examination. Although- there was only history of unprovoked stray dog bite with no hydrophobia - it was difficult to diagnose clinically .But MRI findings made it easier - although differentiation from Japanese encephalitis was difficult as at 6 years of age it was possible . I will brief about the MRI FINDINGS SEEN IN RABIES ENCEPHALITIS- main imaging feature is an increase in T2 signal (best seen on FLAIR) in the affected parts of the brain and spinal cord, with a predilection for grey matter structures. As the disease progresses, swelling becomes more marked and petechial haemorrhages occur, as well as contrast enhancement. The distribution of imaging changes, naturally, depends on the type of involvement. In classic rabies encephalitis, increased T2 signal has a predilection for the basal ganglia,thalami, hypothalami,brainstem, limbic system, and spinal cord as well as the frontal and parietal lobes In paralytic rabies, the involvement of the spinal cord and medulla are more pronounced, although no specific imaging features exist to allow differentiation from the classic encephalitic form. AS PROGNOSIS IN RABIES ENCEPHALITIS IS VERY POOR - because no definite specific treatment is available and only few survivors are seen . Thanks Dr Soumya H Mittal for enlightening us

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