Diagnosis of cerebral malaria

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Cerebral malignant malaria causes neurological disorders, notably behavioral disturbances, impaired consciousness, coma, convulsions, paralysis,... These are manifestations of cerebral embolism and brain hypoxia, lactic acidosis... dangerous for patients.

1. Symptoms of cerebral malignant malaria

Malignant cerebral malaria often causes coma, confusion, convulsions, paralysis.... Up to 80-95% of patients have cerebral malaria complications. Manifestations of this disease include:
Disorders of consciousness such as: Lethargy, struggling, slurred speech, delirium. Patient has a high fever over 40 degrees Celsius continuously Insomnia and severe headache Vomiting or diarrhea Continuity Sudden or gradual and deepening coma (lasting 1-3 days, most no longer than 6 days) Patient has convulsions Seizures Sphincter disorder, dilated pupils Respiratory disturbance or respiratory failure Decreased blood pressure Patients may also have renal failure, oliguria and anuria, high blood urea, hematuria due to massive hemolysis.

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Cerebral malignant malaria presents as a diffuse and symmetrical acute encephalopathy without focal lesions, with a mortality rate of 20-25%.

2. Diagnosis of cerebral malaria

Diagnosis of cerebral malignant malaria is usually based on the following criteria:
Patients with malaria have fever, Plasmodium falciparum parasite, and consciousness disorder, coma. Patients with malaria have fever, Plasmodium falciparum parasites, and bilateral epileptic seizures. Diagnose with or rarely focal neurologic symptoms or signs of Babinski's pyramidal disease; There is a coma that develops according to the law of time. Patients usually recover completely, leaving few sequelae, which can help differentiate cerebral malaria from viral encephalitis. In summary, the diagnosis of cerebral malaria is diagnosed when an acute brain syndrome is present in a patient with Plasmodium falciparum malaria.

As a serious disease, the mortality rate is high in cases of severe malaria. Therefore, when detecting symptoms of cerebral malaria, patients need to quickly go to medical facilities for diagnosis and timely and accurate emergency treatment to limit dangerous complications.
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This article is written for readers from Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.