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Abtibol-Bernardino MR, de Almeida Peixoto LDFA, de Oliveira GA, de Almeida TF, Rodrigues GRI, Otani RH, Soares Chaves BC, de Souza Rodrigues C, de Andrade ABCA, de Fatima Redivo E, Fernandes SS, da Costa Castilho M, Gomes Benzecry S, Bôtto-Menezes C, Martinez-Espinosa FE, Costa Alecrim MDG. Neurological Findings in Children without Congenital Microcephaly Exposed to Zika Virus in Utero: A Case Series Study. Viruses 2020; 12:v12111335. [PMID: 33233769 PMCID: PMC7699969 DOI: 10.3390/v12111335] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 11/12/2020] [Accepted: 11/16/2020] [Indexed: 02/07/2023] Open
Abstract
The Zika virus can induce a disruptive sequence in the fetal brain and is manifested mainly by microcephaly. Knowledge gaps still exist as to whether the virus can cause minor disorders that are perceived later on during the first years of life in children who are exposed but are asymptomatic at birth. In this case series, we describe the outcomes related to neurodevelopment through the neurological assessment of 26 non-microcephalic children who had intrauterine exposure to Zika virus. Children were submitted for neurological examinations and Bayley Scales-III (cognition, language, and motor performance). The majority (65.4%) obtained satisfactory performance in neurodevelopment. The most impaired domain was language, with 30.7% impairment. Severe neurological disorders occurred in five children (19.2%) and these were spastic hemiparesis, epilepsy associated with congenital macrocephaly (Zika and human immunodeficiency virus), two cases of autism (one exposed to Zika and Toxoplasma gondii) and progressive sensorineural hearing loss (GJB2 mutation). We concluded that non-microcephalic children with intrauterine exposure to Zika virus, in their majority, had achieved satisfactory performance in all neurodevelopmental domains. One third of the cases had some impairment, but the predominant group had mild alterations, with low occurrence of moderate to severe disorders, similar to other studies in Brazil.
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Affiliation(s)
- Marília Rosa Abtibol-Bernardino
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
- Correspondence:
| | - Lucíola de Fátima Albuquerque de Almeida Peixoto
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
| | - Geruza Alfaia de Oliveira
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus 69040-000, Brazil; (G.A.d.O.); (G.R.I.R.)
| | | | | | - Rodrigo Haruo Otani
- Department of Medicine, School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil; (R.H.O.); (S.G.B.)
| | - Beatriz Caroline Soares Chaves
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
| | - Cristina de Souza Rodrigues
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
| | - Anny Beatriz Costa Antony de Andrade
- Postgraduate Program in Living Conditions and Health Situations in the Amazon PPGVIDA, Leônidas & Maria Deane Institute, Fiocruz Amazonia, Manaus 69057-070, Brazil;
| | - Elijane de Fatima Redivo
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
| | - Salete Sara Fernandes
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
| | - Marcia da Costa Castilho
- Department of Virology, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus 69040-000, Brazil;
| | - Silvana Gomes Benzecry
- Department of Medicine, School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil; (R.H.O.); (S.G.B.)
| | - Camila Bôtto-Menezes
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
- Department of Medicine, School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil; (R.H.O.); (S.G.B.)
- Department of Malaria, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus 69040-000, Brazil
| | - Flor Ernestina Martinez-Espinosa
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
- Postgraduate Program in Living Conditions and Health Situations in the Amazon PPGVIDA, Leônidas & Maria Deane Institute, Fiocruz Amazonia, Manaus 69057-070, Brazil;
- Department of Malaria, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus 69040-000, Brazil
- Laboratory of Territory, Environment, Health and Sustainability, Leônidas & Maria Deane Institute, Fiocruz Amazonia, Manaus 69057-070, Brazil
| | - Maria das Graças Costa Alecrim
- Postgraduate Program in Tropical Medicine, University of Amazonas State, Manaus 69040-000, Brazil; (L.d.F.A.d.A.P.); (B.C.S.C.); (C.d.S.R.); (E.d.F.R.); (S.S.F.); (C.B.-M.); (F.E.M.-E.); (M.d.G.C.A.)
- Department of Malaria, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus 69040-000, Brazil
- Medical Course Coordination, Manaus Metropolitan College/FAMETRO, Manaus 69050-000, Brazil
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