Cerebral vasculitis associated with an Echovirus 6 meningoencephalitis—Case report and review of the literature

Cauwenberghs, Laura; Bruynseels, Peggy; Demeyere, Nathan; Akker, Machiel van den

doi:10.1002/ccr3.1963

Cited by 4 publications

(2 citation statements)

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“…Only bacterial infections were associated with aneurysm formation. All the viruses identified in our study have been previously described to cause intracranial large vessel stenotic lesions with circumferential wall enhancements, 4,[44][45][46][47][48] except for a 7-year-old child with Burkitt lymphoma, who had diffuse fusiform aneurysmal dilatation of intracranial vessels following Epstein-Barr virus encephalitis. 49 However, no previous article described intracranial arteriopathy following metapneumovirus infection, although meningoencephalitis has been described as a central nervous system manifestation.…”

Section: Discussion On Factors Influencing the Outcome Parametersmentioning

confidence: 78%

The Spectrum of Pediatric Infection-Associated Intracranial Arteriopathies and Acute Ischemic Stroke at 2 Eastern Indian Tertiary Care Centres

et al. 2023

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Introduction Major and minor pediatric infections may cause intracranial arteriopathies, the long-term outcome of which we investigated and identified the factors influencing the progression/resolution of arteriopathies. Methods We collected the clinical and radiological data of children aged 1 month–15 years who had ischemic stroke with definite arteriopathy following a recent febrile infection. Repeated neuroimaging was done over the next year to ascertain recurrent strokes and the progression and resolution of arteriopathies. Results The anterior circulation was more frequently affected (83.33%), predominantly involving the middle cerebral artery (41.67%), resolving in 20.84% of cases and progressing in 33.33% of cases. Lesions were commonly unilateral (54.17%) and stenotic (75%), resulting predominantly in cortical infarcts (45.83%), with hemiparesis being the most common neurodeficiency. Apart from tubercular meningitis patients, others had a good functional outcome. Conclusion Lower age, minor infections, and unilateral arteriopathies had a significantly higher chance of resolution. Postviral arteriopathies had a significantly lower chance of progression compared with those following bacterial infections. Progressive and bilateral arteriopathies were significantly associated with worse outcomes and recurrent strokes.

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Section: Discussion On Factors Influencing the Outcome Parametersmentioning

confidence: 78%

The Spectrum of Pediatric Infection-Associated Intracranial Arteriopathies and Acute Ischemic Stroke at 2 Eastern Indian Tertiary Care Centres

et al. 2023

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“…Wirus opryszczki zwykłej (herpes simplex virus, HSV) zajmuje przede wszystkim przyśrodkowe płaty skroniowe, wyspę, dolne płaty czołowe i zakręt obręczy -co jest widoczne w sekwencji T2 jako obustronne zmiany hiperintensywne (Sureka i Jakkani, 2012). W literaturze opisano przypadki zakażeń enterowirusem, w których w MRI wykazano zmiany ogniskowe i zapalenie naczyń (Cauwenberghs et al, 2018). Ogólnoustrojowe zapalenie aktywuje układ krzepnięcia i zwiększa ryzyko choroby zakrzepowo-zatorowej (Fullerton et al, 2015).…”

Section: Zmiany Widoczne W Badaniach Mri Oraz Czynniki Wpływające Na ...unclassified

The impact of ischaemic stroke risk factors on imaging changes – a current literature review

Demianenko,

Kobierecki,

Leśniak

2023

Aktualn Neurol

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Stroke is the leading cause of acquired disability in adults. Although all age groups may be affected, the risk of fatal outcome increases with age. Diagnostic imaging, including computed tomography and magnetic resonance imaging, is used in order to promptly initiate effective treatment. Imaging modalities make it possible to determine the type of stroke as well as the location and extent of damage. They are also used for treatment monitoring. It is essential to make an early diagnosis, identify the type of stroke and implement appropriate management. After the introduction of modern treatment modalities, such as thrombolytic therapy, time windows, i.e. periods of time during which a given intervention may bring benefits to the patient, were established for ischaemic stroke. The performance and life quality in a person after a stroke depends on the duration of neural ischaemia. The consequences of stroke also depend on the baseline condition of the patient. The incidence of stroke in the general population is shaped by risk factors that are often cumulative in nature. Scientific reports most often point to age, race, sex, blood glucose and diabetes, obesity, smoking and atherosclerosis. Ischaemic stroke is frequently caused by arterial stenosis or obstruction. According to one hypothesis, the activity of immune cells, including monocytes and basophils, in atherosclerosis leads to inflammation and formation of atherosclerotic plaques. As a result, wall thickening, atherosclerotic plaque rupture, regenerative responses and stenosis occur. The aim of the paper is to summarise the relationships between vasculitis, bacterial and viral infections or autoimmune disorders and stroke, in the etiopathogenesis of which, according to current research, they are involved. The paper also shows the importance of diagnostic imaging and attempts to explain the relationship between changes in computed tomography and magnetic resonance imaging and risk factors for stroke.

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Junctional ectopic tachycardia in neonatal enterovirus myocarditis

Weickmann

Gebauer

Paech

2020

Clinical Case Reports

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Cerebral vasculitis associated with an Echovirus 6 meningoencephalitis—Case report and review of the literature

Abstract: Key Clinical Message When a previously healthy child presents to the hospital with a stroke, generally a Varicella zoster virus vasculopathy seems most likely. However, other causes of a local cerebral vasculitis are possible and need to be explored.

Cited by 4 publications

References 10 publications

The Spectrum of Pediatric Infection-Associated Intracranial Arteriopathies and Acute Ischemic Stroke at 2 Eastern Indian Tertiary Care Centres

The Spectrum of Pediatric Infection-Associated Intracranial Arteriopathies and Acute Ischemic Stroke at 2 Eastern Indian Tertiary Care Centres

The impact of ischaemic stroke risk factors on imaging changes – a current literature review

Junctional ectopic tachycardia in neonatal enterovirus myocarditis

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