Neuropsychologic outcomes in children with neonatal herpes encephalitis

Mona-Lisa Engman1, Ingrid Adolfsson, Ilona Lewensohn-Fuchs

  • 1Division of Pediatrics, Department of Clinical Science, Intervention, and Technology, Karolinska University Hospital, Huddinge, Sweden. mona-lisa.engman@ki.se

Pediatric Neurology
|May 20, 2008
PubMed

Insights

Neonatal herpes simplex virus infection significantly impacts cognitive function and speech, even with treatment. Neuropsychological assessment is crucial for habilitation and monitoring disease progression in affected infants.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Neonatal herpes simplex virus (HSV) infection with central nervous system (CNS) involvement presents significant morbidity despite acyclovir therapy.
  • Long-term disabilities, including cerebral palsy and cognitive dysfunction, critically affect a child's future habilitation.

Purpose of the Study:

  • To define neuropsychological outcomes in children with neonatal HSV CNS infection.
  • To determine the relationship between neonatal neuroimaging findings and long-term neuropsychological outcomes.

Main Methods:

  • A descriptive cohort study was conducted over 12 years (1989-2000) in the Stockholm area.
  • Included 14 infants diagnosed with neonatal herpes CNS infection out of 267,690 births.
  • Nine children underwent neuropsychological evaluation.

Main Results:

  • Neonatal herpes CNS infection had a profound impact on cognitive function, speech ability, and attention deficit.
  • One child experienced relapse with functional deterioration; social skills were less affected.
  • Neurodevelopmental outcomes did not strongly correlate with cerebral damage seen on early computed tomography scans.

Conclusions:

  • Neuropsychological assessment is vital for the habilitation of children with neonatal herpes CNS infection.
  • Assessment is essential for evaluating new treatments and monitoring cerebral function changes related to relapses.

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