Neurological Complications of So-called "Influenza": A Winter Study in South-east Wales

Wells, Charles E.

doi:10.1136/bmj.1.5745.369

Cited by 38 publications

(11 citation statements)

References 16 publications

(8 reference statements)

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“…In addition, the patient had radicular symptoms. Cases with myeloradiculopathy were observed during an outbreak of influenza in 1969 ± 1970 (Wells, 1971;Owen, 1971). Our case is the first with evidence of intrathecal production of virus-specific antibodies and abnormal MRI findings.…”

Section: Discussionmentioning

confidence: 81%

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Myelitis associated with influenza a virus infection

Salonen¹,

Koskiniemi²,

Saari³

et al. 1997

J Neurovirol

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We report a patient presenting with myelitis after respiratory symptoms. A high level of antibodies to influenza A virus was measured in serum and cerebrospinal fluid (CSF), and the serum/CSF antibody ratio was 1.7, suggesting specific antibody production in the central nervous system. Magnetic resonance imaging of the spinal canal showed a contrast-enhanced swelling on the cervical medulla. Such a case would have warranted the use of antiviral therapy and calls to mind the neurotropic potential of influenza A viruses.

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Section: Discussionmentioning

confidence: 81%

“…Medullar involvement is rare, although several patients in southeast Wales with transverse myelopathy were described during the winter of 1969± 1970(Wells, 1971. The diagnosis was based on detection of specific antibodies in the patient's serum.…”

mentioning

confidence: 99%

Myelitis associated with influenza a virus infection

Salonen¹,

Koskiniemi²,

Saari³

et al. 1997

J Neurovirol

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“…Polyradiculopathy is the established cause of the Landry-Guillain-Barre syndrome (LGBS) [2]. LGBS was first reported in association with confirmed adenoviral infection by Wells [3]. Ileocaecal intussusception in childhood is a described complication of a post-adenoviral gastrointestinal infection.…”

Section: Discussionmentioning

confidence: 99%

Post-adenoviral parasympathetic dysautonomia in a child: a case report

McLoughlin¹,

Martinez²

2010

J Med Case Rep

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IntroductionThis is the first reported case of adenoviral meningoencephalitis that was complicated by persistent parasympathetic dysautonomia, which clinically either stimulated or inhibited its activity.Case presentationA 7-year-old Caucasian girl presented to our hospital in March 2008 with a three day history of upper respiratory infection. Her condition worsened and she was placed on ventilator support for two weeks. Her recovery was complicated by a persistent selective parasympathetic dysautonomia. Her past medical history was unremarkable.ConclusionsTo the best of our knowledge this is the first case of an adenoviral infection in a child which was complicated after recovery from an acute meningoencephalitis and peripheral neuropathy.

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“…Adult cases of adenovirus encephalitis are few and most are with concomitant diseases. The outcome in these patients has been variable, perhaps due to the associated illnesses, both fatalities and complete recovery having been reported (Wells, 1971;Chou, Roos, Burrell, Gutmann, & Harley, 1973;Kelsey & McLean, 1979;West, Papasian, Park, & Parker, 1985). Intranuclear inclusion bodies and focal necrosis, as in HSVE, were found in one of these cases (Chou et al, 1973).…”

Section: Adenovirusesmentioning

confidence: 91%

“…They also had mood changes and irritability. Amnesia for a period preceding hospitalisation has been noted in three other cases as well (Wells, 1971;West et al, 1985), but case reports of patients with nothing but residual ataxia have also been published (Zagardo, Shanholtz, Zoarski, & Rothman, 1998).…”

Section: Adenovirusesmentioning

confidence: 94%

Neuropsychological sequelae of acute-onset sporadic viral encephalitis

Hokkanen

Launes

2007

Neuropsychological Rehabilitation

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Acute encephalitis is an inflammation of the brain parenchyma. In the USA, by estimation, 20,000 cases occur every year. A variety of cognitive deficits may persist after the acute stage, and they are often the sole cause of disability. Recent literature demonstrates the heterogeneity of both amnestic disorders and the outcome following encephalitis. Herpes simplex virus is the most commonly recognised single aetiology of sporadic encephalitis and it may be the cause of the most severe symptoms. Antiviral medication, however, seems to have improved the cognitive outcome when compared to the historical, untreated cases. The cognitive sequelae following herpes simplex virus encephalitis (HSVE) are best known and most commonly described, e.g., in textbooks, but they do not represent the typical symptomatology of encephalitis in general. Much less is unfortunately known about other types of encephalitis, those that account perhaps up to 80% of all cases, where both mild and severe defects have been observed. This article summarises the current knowledge.

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Neurological Complications of So-called "Influenza": A Winter Study in South-east Wales

Cited by 38 publications

References 16 publications

Myelitis associated with influenza a virus infection

Myelitis associated with influenza a virus infection

Post-adenoviral parasympathetic dysautonomia in a child: a case report

Neuropsychological sequelae of acute-onset sporadic viral encephalitis

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