Pathogenesis and diagnosis of viral infections of the nervous system.
Viral infections of the central nervous system are common and manifest as both acute and chronic illnesses in adults and children. In this article we review cells of the healthy nervous system, the types of viruses that infect them, the nervous system's specialized immune response to viral infections, and how this host-virus interaction influences the clinical examination findings. We discuss a diagnostic approach to viral infections of the nervous system, which includes the importance of taking a detailed history of the presenting illness that examines possible routes of exposure to the virus. This history when coupled with the examination findings and targeted investigations should enable the clinician to diagnose both common and obscure viral infections of the nervous system.
Wright
Edwina J
EJ
The Alfred Hospital Infectious Diseases Unit, 2nd Floor, Burnet Institute, 85 Commercial Road, Melbourne, Victoria, Australia, 3004.
Brew
Bruce J
BJ
Wesselingh
Steve L
SL
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000821:virology*; D020805:Central Nervous System Viral Diseases / Q000188:drug therapy / Q000503:physiopathology / Q000821:virology; D004279:DNA, Viral / Q000235:genetics; D004569:Electroencephalography; D006801:Humans; D008279:Magnetic Resonance Imaging; D017933:Peripheral Nervous System / Q000821:virology; D012313:RNA / Q000235:genetics; D013116:Spinal Cord / Q000821:virology*; D013129:Spinal Puncture; D014057:Tomography, X-Ray Computed; D014777:Virus Diseases / Q000134:cerebrospinal fluid / Q000150:complications / Q000188:drug therapy
D004279:DNA, Viral; D012313:RNA