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Epidemiology of acute encephalopathy in Japan, with emphasis on the association of viruses and syndromes.

Identifieur interne : 000887 ( Ncbi/Merge ); précédent : 000886; suivant : 000888

Epidemiology of acute encephalopathy in Japan, with emphasis on the association of viruses and syndromes.

Auteurs : Ai Hoshino [Japon] ; Makiko Saitoh ; Akira Oka ; Akihisa Okumura ; Masaya Kubota ; Yoshiaki Saito ; Jun-Ichi Takanashi ; Shinichi Hirose ; Takanori Yamagata ; Hideo Yamanouchi ; Masashi Mizuguchi

Source :

RBID : pubmed:21924570

Descripteurs français

English descriptors

Abstract

A research committee supported by the Japanese government conducted a nationwide survey on the epidemiology of acute encephalopathy in Japan using a questionnaire. A total of 983 cases reportedly had acute encephalopathy during the past 3 years, 2007-2010. Among the pathogens of the preceding infection, influenza virus was the most common, followed by human herpesvirus-6 (HHV-6) and rotavirus. Among syndromes of acute encephalopathy, acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) was the most frequent, followed by clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS), acute necrotizing encephalopathy (ANE) and hemorrhagic shock and encephalopathy syndrome (HSES). Influenza virus was strongly associated with ANE and MERS, HHV-6 with AESD, and rotavirus with MERS. Mortality was high in ANE and HSES, but was low in AESD, MERS and HHV-6-associated encephalopathy. Neurologic sequelae were common in AESD and ANE, but were absent in MERS.

DOI: 10.1016/j.braindev.2011.07.012
PubMed: 21924570

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pubmed:21924570

Le document en format XML

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<div type="abstract" xml:lang="en">A research committee supported by the Japanese government conducted a nationwide survey on the epidemiology of acute encephalopathy in Japan using a questionnaire. A total of 983 cases reportedly had acute encephalopathy during the past 3 years, 2007-2010. Among the pathogens of the preceding infection, influenza virus was the most common, followed by human herpesvirus-6 (HHV-6) and rotavirus. Among syndromes of acute encephalopathy, acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) was the most frequent, followed by clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS), acute necrotizing encephalopathy (ANE) and hemorrhagic shock and encephalopathy syndrome (HSES). Influenza virus was strongly associated with ANE and MERS, HHV-6 with AESD, and rotavirus with MERS. Mortality was high in ANE and HSES, but was low in AESD, MERS and HHV-6-associated encephalopathy. Neurologic sequelae were common in AESD and ANE, but were absent in MERS.</div>
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