RESUMO
Aseptic meningitis is considered a benign and self-limiting clinical condition. In contrast to viral encephalitis and bacterial meningitis, the prognosis is usually good. The existing literature is scarce on the potential long-term neuropsychiatric consequences of aseptic meningitis. Previous studies have primarily been retrospective and differences in methodologies make it difficult to draw conclusions regarding the prevalence and nature of neuropsychiatric manifestations. However, studies have reported decreased psychomotor speed and impaired executive and visuo-constructive functions following aseptic meningitis. Larger controlled prospective studies are urgently needed to elucidate the neuropsychiatric complications of aseptic meningitis.
Assuntos
Transtornos Cognitivos/etiologia , Meningite Asséptica/complicações , Meningite Asséptica/psicologia , Transtornos Mentais/etiologia , Doenças do Sistema Nervoso/etiologia , Adolescente , Adulto , Dissonias/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
Aseptic meningitis is considered to be a benign illness with mild symptoms, and the prognosis is usually good. However, retrospective studies have demonstrated that these patients may experience cognitive sequelae. A neuropsychologist was affiliated to the Department of Infectious Diseases, and neuropsychological findings in patients with aseptic meningitis were assessed. In conclusion, at twelve months of follow-up cognitive dysfunction persist among the majority of patients; 75% had mental fatigue and 45% had changed their work status.
Assuntos
Transtornos Cognitivos/virologia , Meningite Asséptica/complicações , Adulto , Idoso , Assistência Ambulatorial , Procedimentos Clínicos , Emprego , Feminino , Seguimentos , Humanos , Masculino , Meningite Asséptica/diagnóstico , Meningite Asséptica/psicologia , Fadiga Mental/virologia , Pessoa de Meia-Idade , Testes Neuropsicológicos , Encaminhamento e ConsultaRESUMO
The authors report discrepant findings between proton magnetic resonance spectroscopy and conventional magnetic resonance imaging in a 67-y-old woman with herpes simplex virus type 1 encephalitis. The sparse amount of literature on proton magnetic resonance spectroscopy in patients with herpes simplex type 1 encephalitis is discussed.
Assuntos
Encefalite por Herpes Simples/diagnóstico , Herpesvirus Humano 1/isolamento & purificação , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Idoso , Encéfalo/patologia , Eletroencefalografia , Encefalite por Herpes Simples/patologia , Encefalite por Herpes Simples/fisiopatologia , Encefalite por Herpes Simples/virologia , Feminino , Herpesvirus Humano 1/genética , Humanos , Imunocompetência , Reprodutibilidade dos TestesRESUMO
Viral meningitis is considered to be a benign illness with only mild symptoms. In contrast to viral encephalitis and bacterial meningitis, the prognosis is usually good. However, retrospective studies have demonstrated that patients suffering from viral meningitis may experience cognitive impairment following the acute course of infection. Larger controlled studies are needed to elucidate the potential neuropsychiatric adverse outcome of viral meningitis.