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Emerging and re-emerging viruses affecting the nervous system
Uta Meyding-Lamadé1, Eva Craemer1, Paul Schnitzler2
1Department of Neurology, Krankenhaus Nordwest GmbH, Steinbacher Hohl 2-26, 60488 Frankfurt/Main, Germany.
Neurological Research and Practice
|December 16, 2020
Summary
Emerging viruses can cause serious neurological diseases like meningitis and encephalitis. Understanding arbovirus transmission by vectors such as Aedes mosquitoes is key to controlling their spread.
Area of Science:
- Virology
- Neuroscience
- Epidemiology
Background:
- Emerging and re-emerging viruses pose significant threats, causing neurological conditions including meningitis, encephalitis, and Guillain-Barré-like syndromes.
- Key viral families implicated include Adenoviridae, Arbovirus, Arenaviridae, Herpesviridae, Picornaviridae, Paramyxoviridae, and Togaviridae.
- Clinical manifestations often present biphasically, starting with non-specific febrile illness and progressing to focal neurological deficits.
Purpose of the Study:
- To review the spectrum of neurological diseases caused by emerging and re-emerging viruses.
- To highlight the diagnostic challenges associated with viral detection, including short viremic periods and serological pitfalls.
- To discuss the epidemiology and vector-borne transmission of arboviruses, emphasizing the role of Aedes mosquitoes.
Main Methods:
- Literature review of viral families causing neurological diseases.
- Analysis of clinical presentations and diagnostic strategies.
- Examination of arbovirus transmission dynamics, vector ecology, and viral persistence.
Main Results:
- Arboviruses transmitted by Aedes mosquitoes (e.g., Chikungunya, Dengue, Japanese Encephalitis B, West Nile virus) have expanded their geographic range.
- Viral risk profiles are intrinsically linked to vector occurrence and activity.
- Viruses exhibit prolonged persistence in vectors, with overwintering strategies in arthropods enabling survival.
Conclusions:
- Effective control of arboviral diseases relies on understanding and managing vector populations and their ecological interactions.
- Global ecological shifts and control measures influence the prevalence of certain viral diseases.
- The persistence and overwintering capabilities of viruses in arthropod vectors are critical factors in disease epidemiology.
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