Dengue infection: neurological manifestations and cerebrospinal fluid (CSF) analysis

Neurological manifestation is considered a rare complication of dengue infection. Neurological and cerebrospinal fluid (CSF) findings of 13 patients with dengue infection were studied. Seven patients had encephalitis, two had myelitis and four showed Guillain-Barré syndrome (GBS). No alteration in C...

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Bibliographic Details
Published in:Journal of the neurological sciences 2006-11, Vol.249 (1), p.19-24
Main Authors: Soares, C.N., Faria, L.C., Peralta, J.M., de Freitas, M.R.G., Puccioni-Sohler, M.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cerebrospinal Fluid Proteins - analysis
Cerebrospinal Fluid Proteins - immunology
Child
CSF
Dengue - complications
Dengue infection
Dengue Virus - immunology
Encephalitis, Viral - cerebrospinal fluid
Encephalitis, Viral - diagnosis
Encephalitis, Viral - virology
Female
Guillain-Barre Syndrome - cerebrospinal fluid
Guillain-Barre Syndrome - diagnosis
Guillain-Barre Syndrome - virology
Human viral diseases
Humans
Immunoglobulin M - cerebrospinal fluid
Infectious diseases
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Myelitis - cerebrospinal fluid
Myelitis - diagnosis
Myelitis - virology
Myelitis and Guillain-Barré syndrome
Neurological manifestations
Neurology
Predictive Value of Tests
Serotyping
Spinal Cord - pathology
Spinal Cord - physiopathology
Spinal Cord - virology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral diseases of the nervous system
Viral encephalitis
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Description
Summary:Neurological manifestation is considered a rare complication of dengue infection. Neurological and cerebrospinal fluid (CSF) findings of 13 patients with dengue infection were studied. Seven patients had encephalitis, two had myelitis and four showed Guillain-Barré syndrome (GBS). No alteration in CSF was found from 57% of those with encephalitis. Patients with GBS and myelitis showed a CSF–blood barrier dysfunction. The differences in the CSF may be related to the location of the lesion and multiple mechanisms of the disease in the nervous system.
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2006.05.068