Long-Lasting Mental Fatigue After Recovery from Meningitis or Encephalitis - A Disabling Disorder Hypothetically Related to Dysfunction in the Supporting Systems of the Brain

Rönnbäck, Lars; Johansson, Birgitta

doi:10.5772/30507

Cited by 5 publications

(7 citation statements)

References 56 publications

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“…Fatigue might be induced by cognitive dysfunctions. A recent hypothesis to explain mental fatigue after traumatic brain injury suggests that long‐term, low‐grade neuroinflammation could lead to an impaired capacity of the astrocytes, involved in information processing, learning and memory formation .…”

Section: Discussionmentioning

confidence: 99%

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Tick-Borne Encephalitis sequelae at long-term follow-up: a self-reported case-control study

Veje

Nolskog²,

Petzold

et al. 2016

Acta Neurol Scand

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Section: Discussionmentioning

confidence: 99%

“…We did not apply a cut‐off value in the ESGQ, because a cut‐off value of this kind would be arbitrary, as symptoms asked for are quite frequent also in a normal population . Consequently, it is difficult to decide a certain questionnaire score reflecting disease.…”

Section: Discussionmentioning

confidence: 99%

Tick-Borne Encephalitis sequelae at long-term follow-up: a self-reported case-control study

Veje

Nolskog²,

Petzold

et al. 2016

Acta Neurol Scand

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“…The seventh domain included mental fatigue, phonophobia, stress sensitivity and disturbed sleep, all symptoms that have been reported to occur after infectious diseases of various aetiologies ( 20 ). Mental fatigue persisting several months after COVID-19 infection has been reported previously ( 21 , 22 ) and, in this subgroup, it was the most frequently reported problem (69%).…”

Section: Discussionmentioning

confidence: 99%

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

Hellgren

Levi

Divanoglou

et al. 2022

JRM

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Objectives To identify domains of persisting problems at 4 months after discharge in patients previously hospitalized due to COVID-19, with focus on the subgroup of patients reporting symptoms to an extent indicative of rehabilitation needs. Design Ambidirectional observational cohort study. Patients All patients with a laboratory-confirmed COVID-19 diagnosis admitted to hospital in a Swedish healthcare region during 1/03-31/05, 2020. After exclusion, 94% of all survivors (n=433) participated in the study. Forty-three percent (n=185) of these reported persisting problems indicating rehabilitation needs and formed a subgroup. Methods Explorative factor analysis based on results from comprehensive telephone interviews covering persisting symptoms, including assessment of impact in daily life. Results Seven domains were identified comprising problems related to vision, cognition, mental fatigue, swallowing, voice, sensorimotor dysfunction and feeling anxious/depressed. The patients in the subgroup reported a median of 8 symptoms/limitations affecting everyday life, and two thirds reported symptoms/limitations in three or more domains. Conclusions Seven problem domains corresponding to specific modalities of rehabilitative interventions were identified. As a majority of patients reported problems from several domains, multiprofessional teams in post-COVID-19 rehabilitation is implicated. Screening of patients previously hospitalized due to COVID-19 should cover all seven domains.

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“…The fatigue can appear very rapidly and, when it does, it is not possible for the affected person to continue the ongoing activity. Other common associated symptoms include: memory and concentrations problems, slowness of thinking, irritability, tearfulness, sound and light sensitivity, sensitivity to stress, sleep problems and headache [20,22]. …”

Section: Mental Fatigue and Cognitive Functioningmentioning

confidence: 99%

“…Fatigue is also commonly reported in other neurological diseases, e.g. Multiple Sclerosis, meningitis, encephalitis, and Parkinson´s disease [18][19][20]. Levin and Greenwald stated that fatigue should always be suspected and inquired about in patients with neurological illnesses [21].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Mental Fatigue Scale and its relation to Cognitive and Emotional Functioning after Traumatic Brain Injury or Stroke

Johansson¹

2013

Int J Phys Med Rehabil

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Objective: After traumatic brain injury (TBI) or stroke, long-term mental fatigue may occur with significant impact on work and social interactions. With the intention to measure mental fatigue irrespective of neurological illness, we developed the Mental Fatigue Scale (MFS). The scale incorporates affective, cognitive and sensory symptoms, duration of sleep and daytime variation in symptom severity. In this study, we evaluated the MFS and its relationship to cognitive and emotional functions.Participants: Healthy controls and well-rehabilitated subjects suffering from mental fatigue after mild TBI, TBI or stroke (age 19-69) were included in the study.Results: The results showed MFS to be invariant to age, gender and education. A cutoff score at 10.5 is suggested. Of the cognitive functions measured, information processing speed was found to be a significant predictor for the rating on MFS. We found that a significant effect on depression between controls and brain injured subjects can be a misleading conclusion if the effect of mental fatigue is not considered.Conclusions: We suggest MFS to be linked to mental impairment after brain injury. This study also demonstrated that mental fatigue must be treated as a separate construct and should not be mixed up with depression or anxiety.

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Long-Lasting Mental Fatigue After Recovery from Meningitis or Encephalitis - A Disabling Disorder Hypothetically Related to Dysfunction in the Supporting Systems of the Brain

Cited by 5 publications

References 56 publications

Tick-Borne Encephalitis sequelae at long-term follow-up: a self-reported case-control study

Tick-Borne Encephalitis sequelae at long-term follow-up: a self-reported case-control study

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

Evaluation of the Mental Fatigue Scale and its relation to Cognitive and Emotional Functioning after Traumatic Brain Injury or Stroke

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