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Acute disseminated encephalomyelitis in dengue viral infection


Citation

Wan Sulaiman, Wan Aliaa and Inche Mat, Liyana Najwa and Hashim, Hasnur Zaman and Hoo, Fan Kee and Ching, Siew Mooi and Ramachandran, Vasudevan and Mohamed, Mohd Hazmi and Basri, Hamidon (2017) Acute disseminated encephalomyelitis in dengue viral infection. Journal of Clinical Neuroscience, 43. 25 - 31. ISSN 0967-5868; ESSN: 1532-2653

Abstract

Dengue is the most common arboviral disease affecting many countries worldwide. An RNA virus from the flaviviridae family, dengue has four antigenically distinct serotypes (DEN-1-DEN-4). Neurological involvement in dengue can be classified into dengue encephalopathy immune-mediated syndromes, encephalitis, neuromuscular or dengue muscle dysfunction and neuro-ophthalmic involvement. Acute disseminated encephalomyelitis (ADEM) is an immune mediated acute demyelinating disorder of the central nervous system following recent infection or vaccination. This monophasic illness is characterised by multifocal white matter involvement. Many dengue studies and case reports have linked ADEM with dengue virus infection but the association is still not clear. Therefore, this article is to review and discuss concerning ADEM in dengue as an immune-medicated neurological complication; and the management strategy required based on recent literature.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Institute of Gerontology
DOI Number: https://doi.org/10.1016/j.jocn.2017.05.033
Publisher: Churchill Livingstone
Keywords: Acute disseminated; Demyelinating diseases; Dengue virus; Encephalomyelitis; Nervous system disorders; Severe dengue
Depositing User: Ms. Nida Hidayati Ghazali
Date Deposited: 28 Mar 2019 01:04
Last Modified: 28 Mar 2019 01:04
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1016/j.jocn.2017.05.033
URI: http://psasir.upm.edu.my/id/eprint/60762
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