Mpox: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Mpox: management. Diffuse cerebral oedema, Meningeal enhancement. Fully referenced neurology checklist.

Magnetic resonance imaging (MRI)

  • Diffuse cerebral oedema
  • Hyperintensity in the thalamus, brainstem and posterior parietal cortex
  • Meningeal enhancement
  • Longitudinally extensive central spinal cord lesions

Cerebrospinal fluid (CSF) analysis

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Electroencephalogram (EEG)

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Other investigations

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Treatment

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Predictors of severe disease

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References

  1. Badenoch JB, Conti I, Rengasamy ER, et al. Neurological and psychiatric presentations associated with human monkeypox virus infection: a systematic review and meta-analysis. EClinicalMedicine 2022; 52:101644.
  2. Samaranayake L, Anil S. The monkeypox outbreak and implications for dental practice. Int Dent J 2022; 72:589-596. 
  3. Hasan S, Saeed S. Monkeypox disease: an emerging public health concern in the shadow of COVID-19 pandemic: an update. Trop Med Infect Dis 2022; 7:283.
  4. Sepehrinezhad A, Ashayeri Ahmadabad R, Sahab-Negah S. Monkeypox virus from neurological complications to neuroinvasive properties: current status and future perspectives. J Neurol 2022 (Online ahead of print).
  5. Pastula DM, Tyler KL. An overview of monkeypox virus and its neuroinvasive potential. Ann Neurol 2022; 92:527-531. 
  6. And 5 more. Subscribe to see the full list

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