[Cerebral manifestations of influenza A (H1N1)v].
We describe two patients with cerebral manifestations of influenza A (H1N1)v. A 13-year-old boy developed severe cerebral oedema and increased intracranial pressure despite medical treatment and external drainage of cerebrospinal fluid. He was treated with bifrontal decompressive craniectomy with good result. A 25-year-old man with a previous kidney transplant developed encephalopathy and convulsions. Magnetic resonance imaging showed encephalitis. The patient fully recovered. The cases demonstrate that influenza A (H1N1)v can cause seriously and potentially life-threatening neurological complications.
Børneafdelingen, Århus Universitets hospital, Aalborg Sygehus, Denmark. pias@dadlnet.dk
Pia Sønderby
PS
Christensen
Birgitte Bang
BB
Pedersen
Helga
H
Gulisano
Louise
L
Gyldensted
Henrik Ib
HI
Nielsen
D000293:Adolescent; D000328:Adult; D001929:Brain Edema / Q000209:etiology / Q000821:virology*; D056424:Decompressive Craniectomy; D018792:Encephalitis, Viral / Q000150:complications / Q000209:etiology / Q000821:virology*; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications / Q000821:virology*; D019586:Intracranial Hypertension / Q000209:etiology / Q000821:virology*; D008279:Magnetic Resonance Imaging; D008297:Male