Neuropsychological sequelae of acute-onset sporadic viral encephalitis
Abstract
Acute encephalitis is an inflammation of the brain parenchyma. In the USA, by estimation, 20,000 cases occur every year. A variety of cognitive deficits may persist after the acute stage, and they are often the sole cause of disability. Recent literature demonstrates the heterogeneity of both amnestic disorders and the outcome following encephalitis. Herpes simplex virus is the most commonly recognised single aetiology of sporadic encephalitis and it may be the cause of the most severe symptoms. Antiviral medication, however, seems to have improved the cognitive outcome when compared to the historical, untreated cases. The cognitive sequelae following herpes simplex virus encephalitis (HSVE) are best known and most commonly described, e.g., in textbooks, but they do not represent the typical symptomatology of encephalitis in general. Much less is unfortunately known about other types of encephalitis, those that account perhaps up to 80% of all cases, where both mild and severe defects have been observed. This article summarises the current knowledge.
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Early reports from the pre-acyclovir era describe severe anterograde amnesia due to bilateral hippocampal damage in surviving HSV-1 patients.
“Early reports from the pre-acyclovir era describe severe anterograde amnesia due to bilateral hippocampal damage in surviving HSV-1 patients [38].”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [38]
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- Authors
- Hokkanen, L., & Launes, J.
- Affiliations
- University of Helsinki (FI)
- Corresponding author
- Hokkanen, Laura
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2007-08-01
- Volume
- 17
- Issue
- 4-5
- Pages
- 450-477
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2035329900
- Cited by
- 71
- References
- 182
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 3 · 2012: 6
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Health Sciences › Medicine › Neurology › Autoimmune Neurological Disorders and Treatments
- Health Sciences › Medicine › Epidemiology › Herpesvirus Infections and Treatments
- Keywords
- viral encephalitis, cognitive sequelae, herpes simplex encephalitis, amnestic disorders, antiviral therapy, long-term outcomes, disability
- MeSH terms
- Acute Disease, Cognition, Cognition Disorders, Humans, Neuropsychological Tests, Simplexvirus, Encephalitis, Viral
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