Heightened neurologic complications in children with pandemic H1N1 influenza
The 2009 pandemic influenza A (H1N1) has been recognized to cause neurological complications including seizures and encephalopathy. We identified 18 children with 2009 H1N1 influenza and neurological complications from first and second wave activity, and compared characteristics to seasonal influenz...
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Veröffentlicht in: | Annals of neurology 2010-11, Vol.68 (5), p.762-766 |
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container_title | Annals of neurology |
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creator | Ekstrand, Jeffrey J. Herbener, Amy Rawlings, Julia Turney, Beth Ampofo, Krow Korgenski, E. Kent Bonkowsky, Joshua L. |
description | The 2009 pandemic influenza A (H1N1) has been recognized to cause neurological complications including seizures and encephalopathy. We identified 18 children with 2009 H1N1 influenza and neurological complications from first and second wave activity, and compared characteristics to seasonal influenza. Seizures, encephalopathy, and status epilepticus were common presentations. Focal neurological symptoms persisted in 22% of patients at discharge. Compared to seasonal influenza, patients with pandemic 2009 influenza were more likely to have encephalopathy, focal neurological findings, aphasia, and abnormal electroencephalographic findings. In addition, we noted a trend toward heightened neurological complications following second wave influenza activity. ANN NEUROL 2010 |
doi_str_mv | 10.1002/ana.22184 |
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Kent</creatorcontrib><creatorcontrib>Bonkowsky, Joshua L.</creatorcontrib><title>Heightened neurologic complications in children with pandemic H1N1 influenza</title><title>Annals of neurology</title><addtitle>Ann Neurol</addtitle><description>The 2009 pandemic influenza A (H1N1) has been recognized to cause neurological complications including seizures and encephalopathy. We identified 18 children with 2009 H1N1 influenza and neurological complications from first and second wave activity, and compared characteristics to seasonal influenza. Seizures, encephalopathy, and status epilepticus were common presentations. Focal neurological symptoms persisted in 22% of patients at discharge. Compared to seasonal influenza, patients with pandemic 2009 influenza were more likely to have encephalopathy, focal neurological findings, aphasia, and abnormal electroencephalographic findings. In addition, we noted a trend toward heightened neurological complications following second wave influenza activity. ANN NEUROL 2010</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Electroencephalography</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Influenza A Virus, H1N1 Subtype</subject><subject>Influenza, Human - complications</subject><subject>Male</subject><subject>Nervous System Diseases - complications</subject><subject>Pandemics</subject><issn>0364-5134</issn><issn>1531-8249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1u1DAURi1ERaeFBS-AskMs0l7_xlmOqrZTaToIAerScuzrjiFxhjhRaZ--gWm7Q6zu4p7vLA4h7ymcUAB2apM9YYxq8YosqOS01EzUr8kCuBKlpFwckqOcfwBArSi8IYcMtJKVYguyXmG83Y6Y0BcJp6Fv-9voCtd3uzY6O8Y-5SKmwm1j6wdMxV0ct8XOJo_dzK3ohs7v0E6YHuxbchBsm_Hd0z0m3y_Ov52tyvXny6uz5bp0vBai9I7SEGqrqfKMC6ax4aAarG3QygsvnHdONlx6DzI0ViseoBLArBZaYeDH5OPeuxv6XxPm0XQxO2xbm7CfstFaU-Ag5X_JuYHSkio1k5_2pBv6nAcMZjfEzg73hoL5U9nMlc3fyjP74ck6NR36F_I56wyc7oG72OL9v01muVk-K8v9IuYRf78s7PDTqIpX0txsLg378lXBRXVjrvkjSm6VOA</recordid><startdate>201011</startdate><enddate>201011</enddate><creator>Ekstrand, Jeffrey J.</creator><creator>Herbener, Amy</creator><creator>Rawlings, Julia</creator><creator>Turney, Beth</creator><creator>Ampofo, Krow</creator><creator>Korgenski, E. 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Kent</au><au>Bonkowsky, Joshua L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heightened neurologic complications in children with pandemic H1N1 influenza</atitle><jtitle>Annals of neurology</jtitle><addtitle>Ann Neurol</addtitle><date>2010-11</date><risdate>2010</risdate><volume>68</volume><issue>5</issue><spage>762</spage><epage>766</epage><pages>762-766</pages><issn>0364-5134</issn><eissn>1531-8249</eissn><abstract>The 2009 pandemic influenza A (H1N1) has been recognized to cause neurological complications including seizures and encephalopathy. We identified 18 children with 2009 H1N1 influenza and neurological complications from first and second wave activity, and compared characteristics to seasonal influenza. Seizures, encephalopathy, and status epilepticus were common presentations. Focal neurological symptoms persisted in 22% of patients at discharge. Compared to seasonal influenza, patients with pandemic 2009 influenza were more likely to have encephalopathy, focal neurological findings, aphasia, and abnormal electroencephalographic findings. In addition, we noted a trend toward heightened neurological complications following second wave influenza activity. ANN NEUROL 2010</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20865762</pmid><doi>10.1002/ana.22184</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Child Child, Preschool Electroencephalography Female Humans Infant Influenza A Virus, H1N1 Subtype Influenza, Human - complications Male Nervous System Diseases - complications Pandemics |
title | Heightened neurologic complications in children with pandemic H1N1 influenza |
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