Paediatria Croatica, Vol. 57 No. 1, 2013.
Original scientific paper
POST-ENCEPHALITIC SYNDROME IN CHILDREN WITH TICK-BORNE ENCEPHALITIS
Ljiljana Mišić Majerus
; Djelatnost za infektivne bolesti, Opća bolnica „Dr. Tomislav Bardek“, Koprivnica
Zlatko Sabol
; Poliklinika za dječje bolesti „Dr. Sabol“, Zagreb
Maja Toth Mršić
; Dječji odjel, Opća bolnica „Dr. Tomislav Bardek“, Koprivnica
Nevenka Bujić
; Djelatnost za infektivne bolesti, Opća bolnica „Dr. Tomislav Bardek“, Koprivnica
Oktavija Đaković Rode
; Odjel za virusologiju, Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb
Eva Ružić Sabljić
; Institut za mikrobiologiju i imunologiju Medicinskog fakulteta Sveučilišta u Ljubljani, Zaloška 4, 1000 Ljubljana, Slovenia
Abstract
Tick-borne encephalitis is predominantly a disease with a milder clinical course in children, but in a small number of patients it may cause some severe and permanent sequels. The aim of this study was to investigate the prevalence and clinical characteristics of post-encephalitic syndrome in children with tick-borne encephalitis. The study was based on data obtained from longitudinal clinical monitoring of 112 children with tick-borne encephalitis aged 2-14 years, treated during the 1979-2011 period. In clinical monitoring, qualitative assessment of the post-encephalitic syndrome effect on everyday life habits and activities of patients was used. Clinical signs and symptoms of post-encephalitic syndrome were recorded in 35 (31.2%) patients, significantly more common among schoolchildren (38%) than preschool children (13%) (p<0.05). Post-encephalitic syndrome most frequently manifested as headache (74%), ataxia (34%), as well as movement disorder (including tremor) and dizziness (28%). Memory, attention and concentration disorders were present in 26% of patients, emotional disturbances (irritability) in 23%, and behavioral changes (aggression and "strange behavior") in 11% of patients. Mild or transient post-encephalitic syndrome was recorded in 60%, moderately severe in 31%, and severe with permanent sequels in 9% of patients (3% of all patients with tick-borne encephalitis, with hearing loss in two and hemiparesis and epileptic seizure in one patient each). Post-encephalitic syndrome lasted for one to three months for up to more than ten years. In conclusion, this study undoubtedly proved the presence of post-encephalitic syndrome in study children with tick-borne encephalitis.
Keywords
Descriptors: ENCEPHALITIS, TICK-BORNE; CHILD, PRESCHOOL; CHILD
Hrčak ID:
99172
URI
Publication date:
15.2.2013.
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