Ishikawa N, Kawaguchi H, Nakamura K, Kobayashi M. Central nervous system complications and neuroradiological findings in children with chronic active Epstein-Barr virus infection.
Pediatr Int 2013;
55:72-8. [PMID:
23240920 DOI:
10.1111/ped.12024]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2012] [Revised: 08/15/2012] [Accepted: 09/19/2012] [Indexed: 01/11/2023]
Abstract
BACKGROUND
Although many neurological complications have been described in acute Epstein-Barr virus infection, few reports have discussed the central nervous system complications in chronic active Epstein-Barr virus (CAEBV) infection.
METHODS
We retrospectively surveyed the medical records of 14 patients with CAEBV infection in our institute. Neuroradiological studies were performed in 10 of these patients.
RESULTS
Five had no neurological symptoms, whereas two presented with posterior reversible encephalopathy syndrome, one presented with basal ganglia calcification, and one presented with falx cerebri hemorrhage. Although both of the posterior reversible encephalopathy syndrome cases developed epilepsy several years after recovering from prolonged neurological deterioration, the others had no neurological sequelae.
CONCLUSIONS
This study revealed that various central nervous system complications may occur during the clinical course in pediatric CAEBV patients.
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