Malaria is prevalent in all over the World. Plasmodium vivax accounts for more than half of all malaria cases in Asia. The present study was conducted in SVS Hospital, Mahabubnagar, a tertiary care teaching hospital. Total cases of 1219 proved malaria admitted to SVS Hospital. Of 954 severe malaria cases, there were 660 total cases of cerebral malaria(as per WHO criteria), 286 (43.33%) cases caused by P falciparum while 280 (42.42%) adults were affected by P vivax and another 94 (14.24%) due to mixed infection.severe headache, fever and bruxism were the most important clinical features in this study. Bruxism was observed in 90% or above cases in this study which was not reported by earlier studies as per the published data. Bruxism was earlier sporadic reports. The literature was extensively reviewed and compared