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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Neurological Complications Of Cerebral Malaria ?

1) What are the neurological complications of Cerebral Malaria ? It was Four years back since I have suffered from an attack of malaria.And, the onset of illness was a week back with complaints of headache , fever , nausea and vomiting. Then, I was admitted to hospital and I had been stayed in Coma for seven days. Blood smears confirmed infestation by falciparum malaria. And its complications followed by Acute Renal Failure then immediate hemodialsis treatment started with all supportive care, after third session my condition markedly improved but I have developed psycho-neurological symptom complex. After three weeks of stay in the hospital, Liver and renal function tests markedly reduced, then I was partially recovered and discharged. Although, EEG and MRI imaging four weeks after the onset of illness have shown normal findings, I was told by the doctor as I have brain stem encephalopathy and peripheral neuropathy. I am now a 36 years old man having difficulty in walking as well as writing. And also I have minimal difficulty to talk. I have visited so far to notable neurologists in this country, but all recommend me one thing ‘’physical exercise’’ however, my conditions get worsening while I started to exercise. Now, I have stopped all exercises except walking using a standing frame. 2) What will you recommend me to be able to walk again and work independently? 3) The following was some of the results from a lab. report during admission to hospital bilirubin (d):13.7mg/dl, bilrubn (t) : 120.3 mg/dl,RBC:110mg/dl,HCT :28.8%, Hgb:4.6mg/dl,ALP 214iu/l,BUN 138.6mg/dl,Creatinine :16.4mg/dl SGOT and SGPT of 130iu/dl and71iu/dl respectively?
Fri, 9 Dec 2011
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General & Family Physician 's  Response
Hello.Welcome to HCM forum.Your tests show you had severe anemia,severe jaundice due destruction of your Rbcs and acute renal failure cosequent to hemolytic jaundice.you are fortunate to have survived this severe and deadly falciparum infection.The neurological problems are the after effects of your illness.Now four years after the illness,neurologists are right in advising exercises to you but I would still advice you to go to some advanced neuro center for further consultation and management.You may try alternate systems of medicine like Ayurveda or Homeopathy.Thanks and good luck.
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General & Family Physician Dr. Vidya Muralidhar's  Response
Hi
Welcome to HealthcareMagic forum
On reading your history and the reports, I would want to suggest that you go in for an expert opinion on the panel of specialist on our website. you could mail us your query and we would revert back to you with in 48 hrs with specialist opinion.
Wish you good health
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What Are The Neurological Complications Of Cerebral Malaria ?

Hello.Welcome to HCM forum.Your tests show you had severe anemia,severe jaundice due destruction of your Rbcs and acute renal failure cosequent to hemolytic jaundice.you are fortunate to have survived this severe and deadly falciparum infection.The neurological problems are the after effects of your illness.Now four years after the illness,neurologists are right in advising exercises to you but I would still advice you to go to some advanced neuro center for further consultation and management.You may try alternate systems of medicine like Ayurveda or Homeopathy.Thanks and good luck.