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Emerging Monkeypox virus and neuroinflammatory disorders.

Marzia Puccioni-Sohler1,2, Carolina Marques de Oliveira3, Marcelo Namen4

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|October 3, 2022
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Monkeypox, a viral zoonosis, can cause serious neurological complications like encephalitis. Early recognition and cerebrospinal fluid analysis are crucial for managing these rare but severe outcomes.

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Monkeypoxcerebrospinal fluidencephalitisneuroinflammatory disordersneurological manifestationspediatric

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Area of Science:

  • Virology
  • Neurology
  • Public Health

Background:

  • Monkeypox is a zoonotic viral disease endemic to western and central Africa, with a global surge in cases since May 2022.
  • The virus, a double-stranded DNA virus, was first isolated in monkeys in 1958 and the first human case identified in 1970.
  • The recent global outbreak has raised significant public health concerns due to its rapid spread in non-African regions.

Purpose of the Study:

  • To discuss the neurological manifestations associated with monkeypox infection.
  • To highlight the importance of recognizing and managing potential neurological complications.
  • To provide insights into the diagnostic approaches for central nervous system involvement.

Main Methods:

  • Literature review and discussion of reported cases.
  • Analysis of previously documented neurological symptoms in monkeypox patients.
  • Emphasis on diagnostic tools including cerebrospinal fluid examination and imaging studies.

Main Results:

  • Neurological manifestations, including encephalitis, convulsions, dizziness, and headache, have been reported in monkeypox infections.
  • Encephalitis can result from direct viral invasion of the central nervous system or immune-mediated processes.
  • Prompt diagnosis involving cerebrospinal fluid analysis and imaging is vital for effective management.

Conclusions:

  • Health professionals must remain vigilant for neurological disorders in monkeypox cases.
  • Early detection and intervention are critical to prevent long-term sequelae.
  • Further characterization of the current monkeypox outbreak's neurological impact is necessary.