Neurological involvement related to the influenza virus in children: A 5-year single-centre retrospective study

Julie Savagner1, Pauline Trémeaux2, Eloïse Baudou1

  • 1Department of Paediatric Neurology, Toulouse Children's Hospital, 330 Avenue de Grande Bretagne, 31300, Toulouse, France.

Insights

Influenza infection in children frequently causes neurological symptoms like seizures and encephalitis, but most cases resolve quickly. Long-term effects require further study, particularly in those with prior neurological issues.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Neuroscience

Background:

  • Influenza virus infection can trigger various neurological conditions in children, including encephalitis, often presenting with seizures.
  • The presentation and severity of influenza-related neurological issues can vary based on epidemic strains and a child's medical history.

Purpose of the Study:

  • To investigate the incidence and characteristics of neurological manifestations in children hospitalized with influenza.
  • To analyze the types of neurological symptoms, patient demographics, and outcomes associated with influenza infection.

Main Methods:

  • Retrospective analysis of children with neurological symptoms and confirmed influenza RNA in respiratory samples.
  • Inclusion criteria: hospitalization between November 2018 and April 2023 at Toulouse Children's Hospital.

Main Results:

  • 10.3% of hospitalized influenza patients (131 children) presented with neurological features.
  • Seizures were the most common symptom (73.3%), followed by encephalitis (29%). Most patients (88.5%) showed rapid recovery.
  • Influenza A was the predominant strain, and 71.6% of affected children were under 5 years old.

Conclusions:

  • Neurological complications are common in pediatric influenza cases but are typically transient.
  • Further research is needed to understand long-term neurodevelopmental outcomes, especially in children with pre-existing neurological conditions.
Abstract

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