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[Zika virus infection and the nervous system].

Abstract

Zika virus is an arbovirus from the family of flaviviruses, which is transmitted by the mosquito Aedes aegyptii and also by the Asian mosquito Aedes albopticus. The largest observed Zika virus epidemic is currently taking place in North and South America, in the Caribbean, southern USA and Southeast Asia. In most cases the infection is an unspecific, acute, febrile disease. Neurological manifestations consist mainly of microcephaly in newborns and Guillain-Barré syndrome but other rare manifestations have also become known in the meantime, such as meningoencephalitis and myelitis. Therefore, the Zika virus, similar to other flaviviruses, has neuropathogenic properties. In particular, the drastic increase in microcephaly cases in Brazil has induced great research activities. The virus is transmitted perinatally and can be detected in the amniotic fluid, placenta and brain tissue of the newborn. Vaccination or a causal therapy does not yet exist. The significant increase in Guillain-Barré syndrome induced by the Zika virus was observed during earlier outbreaks. In the meantime, scientifically clear connections between a Zika virus infection and these neurological manifestations have been shown. Long-term studies and animal models should be used for a better understanding of the pathomechanisms of this disease.

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  • Authors+Show Affiliations

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    Klinik Maria Frieden und Medizinische Fakultät, Westfälische Wilhelms-Universität Münster, Am Krankenhaus 1, 48291, Telgte, Deutschland. husstedt@uni-muenster.de.

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    Klinik für Neurologie, Krankenhaus der Barmherzigen Brüder, Trier, Deutschland.

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    Krankenhaus der Barmherzigen Brüder, Linz, Österreich.

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    Institut für Neuropathologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

    Klinik für Neurologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

    Source

    Der Nervenarzt 89:2 2018 Feb pg 136-143

    Pub Type(s)

    English Abstract
    Journal Article
    Review

    Language

    ger

    PubMed ID

    29318332