Viliuisk encephalomyelitis

Evidence-based neurology checklist on viliuisk encephalomyelitis: Epidemiology This is an acute meningoencephalitis that progresses to a chronic panencephalitis It is probably infectious but the cause has not been identified It is endemic along the Viliui River and Yakutsk town in Eastern Siberia…

Epidemiology

  • This is an acute meningoencephalitis that progresses to a chronic panencephalitis
  • It is probably infectious but the cause has not been identified
  • It is endemic along the Viliui River and Yakutsk town in Eastern Siberia
  • It predominantly affects young adults
  • It is transmitted by close household contact
  • The outcome is worse in secondary cases

Pathology

Potential infectious candidates

Acute features

Chronic features

Cerebrospinal fluid (CSF) analysis

Brain imaging

References

  1. Vladimirtsev VA, Nikitina RS, Renwick N, et al. Family clustering of Viliuisk encephalomyelitis in traditional and new geographic regions. Emerg Infect Dis 2007; 13:1321-1326. 
  2. Lee HS, Zhdanova SN, Vladimirtsev VA, et al. Epidemiology of Viliuisk encephalomyelitis in Eastern Siberia. Epidemiology 2010; 21:24-30.
  3. Storch A, Kassubek J, Tumani H, et al. Communicating hydrocephalus following eosinophilic meningitis is pathogenic for chronic Viliuisk encephalomyelitis in Northeastern Siberia. PLoS One 2014; 9:e84670.
  4. Goldfarb LG, Vladimirtsev VA, Platanov FA, Lee HS, McLean CA, Masters CL. Viliuisk encephalomyelitis in Eastern Siberia - analysis of 390 cases. Folia Neuropathol 2009; 47:171-181.
  5. Chumakov KM, Karavanov AS. Preliminary characterization of an organism isolated from a case of Viluy encephalomyelitis indicates a protozoal, rather than viral, aetiology. J Gen Microbiol 1986; 132:1127-1133.

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