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Neurological Sequelae of Hospitalized Japanese Encephalitis Cases in Gansu Province, China
Open accessAbstract
We conducted a follow-up survey for 55 Japanese encephalitis (JE) cases 1–2 years after hospital discharge in Gansu province, China. Community-, education-, and gender-matched healthy individuals without history of neurologic disease were selected as the comparison group. All subjects received neurological examination, intelligence quotient (IQ) measurement, adaptive behavior measurement, and Wechsler memory scale (WMS) assessment. We found 43.6% JE cases had at least one nervous system sequelae compared with 3.6% healthy individuals. Among JE cases, 22.4% had subnormal IQ, 18.4% subnormal verbal IQ (VIQ), 20.4% subnormal performance IQ (PIQ), and 78.4% had subnormal memory quotient (MQ). Among healthy individuals, 2.0% had subnormal IQ, VIQ, or PIQ and 8.1% had subnormal MQ. Among adult JE cases, 47.8% and 39.1% had adaptive behavior impairments and intellectual disability, respectively, compared with 18.8% and 9.7% among young cases, respectively. The results showed both adult and young surviving JE cases had significant neurological sequelae and mental disability 1–2 years after discharged.
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44% of JE patients had at least one neurological CNS sequel one to two years post encephalitis.
“44% of patients had at least one neurological CNS sequel one to two years post encephalitis [74].”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [74]
Cognitive deficits, especially intellectual disability and memory loss, have been presented both in children and adults with JE.
“Cognitive deficits, especially intellectual disability and memory loss have been presented both in children and adults [72, 74]”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [74]
Around 45-64% of Japanese encephalitis survivors show neurological sequelae on hospital discharge.
“Around 45–64% of survivors show neurological sequelae on hospital discharge [72–74].”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [74]
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Metadata
- Authors
- Yin, Z., Wang, X., Li, L., Li, H., Zhang, X., Li, J., Ning, G., Li, F., Liang, X., Gao, L., Liang, X., & Li, Y.
- Affiliations
- Chinese Center For Disease Control and Prevention (CN)
- Corresponding author
- Li, Yixing
- ORCID
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2015-06-03
- Volume
- 92
- Issue
- 6
- Pages
- 1125-1129
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC4458813
- OpenAlex
- W2332260422
- Cited by
- 47
- References
- 16
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 12 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 7 · 2017: 1 · 2016: 2
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- Japanese encephalitis, neurological sequelae, intellectual disability, memory impairment, adaptive behavior, long-term follow-up, Gansu Province
- MeSH terms
- Adolescent, Adult, Aged, Brain, Child, Child, Preschool, China, Encephalitis Virus, Japanese, Encephalitis, Japanese, Female, Hospitalization, Humans, Infant, Infant, Newborn, Male, Memory Disorders, Intellectual Disability, Middle Aged, Neuropsychological Tests, Retrospective Studies, Wechsler Scales, Case-Control Studies, Young Adult
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