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A, B Note the strong enhancement of the left anterior horn of the spinal cord arrow and the left ventral nerve roots arrowhead on gadolinium-enhanced T1-weighted images.
Enterovirus 71 infection and neurological complications
Table 2 Association between the prevalence, treatment and control of hypertension and the MMSE score by gender. EV71 is isolated mainly from throat or stool specimens, and emm from skin-vesicle 9828, rather than CSF 2 However, EV71 occasionally involves the central nervous system CNSand induces diverse neurological complications such as brainstem encephalitis, aseptic meningitis, and acute flaccid paralysis. However, among the treated hypertensive patients, there was no difference in the prevalence of MCI between the patients who reached and those who did not reach their treatment goal.
According to clinical studies conducted in northern Taiwan 252627symptomatic EV71 infection is divided into 4 stages: Association between serum uric acid level and metabolic syndrome and its sex difference in a Chinese community elderly population. Blood pressure and treatment of persons with hypertension as it relates to cognitive outcomes including executive function.
Regional cerebral blood flow in Parkinson’s disease as an indicator of cognitive impairment. Less Alzheimer disease neuropathology in medicated hypertensive than nonhypertensive persons. EV71 brainstem encephalitis has been defined as an illness characterized by myoclonus, ataxia, nystagmus, oculomotor palsies, and bulbar palsy, and various combinations of these, with or without dm by neuroimaging, in conjunction with virus isolation from at least one site throat swab, stool, cerebrospinal fluid [CSF], or other 29 Finally, the Wanshoulu Community is a metropolitan area that is representative of the geographic and economic characteristics of Beijing, but the results are likely difficult to generalize to other areas in China.
J Pediatr Infect Dis.
Enterovirus 71 infection and neurological complications
A disease-management program developed in Taiwan in recommended the use of intravenous immunoglobulin me milrinone for the treatment of EV71 brainstem encephalitis Methods Study design The sampling method was described in our previous study. Depressive symptoms, cognitive impairment, and metabolic syndrome in community-dwelling elderly in Southern Taiwan.
It is worth noting that the two ORs ORs for the prevalence of MCI in treated hypertensive patients compared with all untreated hypertensive patients and in patients with controlled hypertensive compared with those with non-controlled hypertension regardless of treatment obtained throughout the main analyses were similar.
Both male and female participants showed trends that were similar to those obtained in the main analyses. The characteristic MRI findings of EV71 brainstem encephalitis are high signal intensities on T2-weighted and fluid-attenuated inversion recovery images in the posterior region of the pons, medulla oblongata, midbrain, and bilateral dentate nuclei of the cerebellum Fig.
Smoking, hypercholesterolaemia and hypertension as risk factors for cognitive impairment in older adults.
In the hypertensive patient population, the rates of hypertension treatment and control were In recent years, accumulating epidemiologic and mechanistic evidence has shown that hypertension is also an important risk factor for dementia, Alzheimer’s disease and mild cognitive impairment MCI.
Author contributions YH and BJ helped design the study and analyzed the data. Am J Med Sci.
With the anticipated increase in the elderly population, a higher prevalence of hypertension is emerging. Discussion The present study is a population-based, cross-sectional study with a strict training process and quality assurance programs.
Myoclonus is not only the most common symptom, but also an early indicator of brainstem involvement in EV71 infection 2 J Am Soc Hypertens ; 6: Subjective cognitive failures in patients with hypertension are related to cognitive performance and cerebral micro bleeds. Third, detailed information on the participants’ diets and types of antihypertensive drugs used was not collected; such factors might be important covariates in the analysis of the study.
Int J Clin Pract ; In patients with acute flaccid paralysis, MRI typically shows high-signal lesions in the anterior horn cells of the spinal cord on T2-weighted images, and contrast enhancement in the ventral root on T1-weighted images Fig.
Since then, large-scale epidemics of EV71 have been reported in many Asia-Pacific countries including Taiwan, Australia, China, Singapore, Vietnam, and Cambodia, and have caused many fatalities 78910111213 Admittedly, the present study was limited by its small sample size; thus, a larger sample size is required to detect the association between hypertension control and the prevalence of MCI among treated hypertensive patients in future research.
Nonetheless, the findings of the current study are in accordance with previous authors who have reported a positive relationship between hypertension and cognitive decline. Hydrodynamic studies of patients with pulmonary edema have demonstrated normal cardiac function and normal pulmonary hydrostatic pressure However, the promotion and approval of these vaccines in various countries are problems yet to be resolved.
Hence, all patients with suspected EV71 infection should be carefully observed for all clinical symptoms, including myoclonus and ataxia that are the characteristic clinical features of brainstem encephalitis. A Taiwan study showed that EV71 can be detected in the throat up to 2 weeks after recovery from HFMD or herpangina, and can be detected in stool samples up to 11 weeks after recovery