title: Long-term motor and cognitive outcome of acute encephalitis.
abstract: OBJECTIVE
  To examine the long-term motor and neurocognitive outcome of children with acute encephalitis and to look at possible prognostic factors.
  
  
  METHODS
  Children who were treated for acute encephalitis in 2000-2010 were reevaluated. All children and their parents were interviewed by using structured questionnaires, and the children underwent full neurologic examinations, along with comprehensive neurocognitive, attention, and behavioral assessments.
  
  
  RESULTS
  Of the 47 children enrolled, 1 died and 29 had neurologic sequelae, including motor impairment, mental retardation, epilepsy, and attention and learning disorders. Children with encephalitis had a significantly higher prevalence of attention-deficit/hyperactivity disorder (50%) and learning disabilities (20%) compared with the reported rate (5%-10%) in the general population of Israel (P < .05) and lower IQ scores. Lower intelligence scores and significantly impaired attention and learning were found even in children who were considered fully recovered at the time of discharge. Risk factors for long-term severe neurologic sequelae were focal signs in the neurologic examination and abnormal neuroimaging on admission, confirmed infectious cause, and long hospital stay.
  
  
  CONCLUSIONS
  Encephalitis in children may be associated with significant long-term neurologic sequelae. Significant cognitive impairment, attention-deficit/hyperactivity disorder, and learning disabilities are common, and even children who were considered fully recovered at discharge may be significantly affected. Neuropsychological testing should be recommended for survivors of childhood encephalitis.
authors.affiliation: Department of Pediatrics B.
authors.forename: Orli
authors.initials: O
authors.lastname: Michaeli
authors.forename: Imad
authors.initials: I
authors.lastname: Kassis
authors.forename: Yael
authors.initials: Y
authors.lastname: Shachor-Meyouhas
authors.forename: Eli
authors.initials: E
authors.lastname: Shahar
authors.forename: Sarit
authors.initials: S
authors.lastname: Ravid
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D004660:Encephalitis / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
keywords: attention-deficit; encephalitis; intelligence; sequelae