Chapter

Neurologic Manifestations of Viral Outbreaks

Eelco F. M. Wijdicks

in Neurologic Complications of Critical Illness

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print May 2009 | ISBN: 9780195371093
Published online April 2013 | e-ISBN: 9780199322886 | DOI: http://dx.doi.org/10.1093/med/9780195371093.003.0007

Series: Contemporary Neurology Series

Neurologic Manifestations of Viral Outbreaks

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Infectious outbreaks are commonly bacterial and food-borne and may become deadly due to sepsis. Viral outbreaks causing neurologic manifestations are primarily seasonal and are often bound to a geographic region. 1–5 The periodical presentation of these outbreaks may trigger a higher index of suspicion during certain months, but only when the number of affected patients quickly rises will it become clear that an outbreak is emerging. An increase in neurotropic Flavivirus infections transmitted by arthropods has been observed over the last decades, and neurons in both the brain and spinal cord can be the primary targets. There is a suggestion that climate change may be to some extent responsible for increased incidence of tick-borne encephalitis in Europe. 2,4 Intensivists and neurologists should become familiar with these viral outbreaks. Other vector-borne outbreaks are predominantly located in the tropics (dengue, schistosomiasis, and trypanomiasis) and not further considered.

Chapter.  4837 words.  Illustrated.

Subjects: Neurology

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