STLE, St Louis Encephalitis

Histopathology

• It causes lymphocytic meningitis, predominantly affecting gray matter. The most severely affected areas are
  • Hypothalamus
  • Cerebellar cortex
  • Basal ganglia esp Substantia nigra
  • Brain-stem
  • Spinal cord
  • Cerebellum

• It may rarely involve white matter causing acute demyelinating encephalomyelitis.

Encephalitis

• Emotional lability:
• Irritability, Anxiety.
• Altered Consciousness: Delirium, Coma, Sleepiness, Awkward

• Vertigo, Dizziness. Unsteadiness
• Ataxia, Awkwardness
• Eyelids Tremor
• Nystagmus
• Jerking; myoclonic

Brain-stem encephalitis

• Ataxia
• Cranial neuropathies
• Altered levels of consciousness, Disorientation. Confusion, Forgetfulness

Other entities

Dizziness. Unsteadiness

Aseptic Meningitis:

• Frontal Headache + fever
• Congestive Pressing headache

• Stroke

Eye Tremor; eyelids. Nystagmus.

Involuntary movement

• Jerking; myoclinic

• Tremor
  • Face, esp Lips
  • Mouth esp Tongue
  • Extremities

Pneumonia: Chest Oppression.

Lung embolism.  

GI bleeding.

Overactive bladder: Incontinence, Urgency.

UTI: Hematuria; microscopic. Pyuria. Dysuria

Coldness; feet. . Awkwardness.

Seizure. Ataxia.

Thrombophlebitis.

Proteinuria. Leukocytosis. Hyponatremia

Related disease

• Bickerstaff brainstem encephalitis
• Fisher syndrome
• Anti-GQ1b antibody syndrome
• Opsoclonus-Myoclonus-Ataxia (OMA)
• Brainstem encephalitis
• Post viral cerebellar ataxia
• Anti-GQ1b antibody syndrome

Remedies

2. PHOS, APIS
3. Gels, Op, Cupr, Lach, Merc, Sul, Bell
4. Nux-m, Cocc, Alum, Hell, Plb, Agar