Viliuisk encephalomyelitis

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

Viliuisk encephalomyelitis. This is an acute meningoencephalitis that progresses to a chronic panencephalitis. Fully referenced neurology checklist.

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

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Potential infectious candidates

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Acute features

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Chronic features

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Cerebrospinal fluid (CSF) analysis

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Brain imaging

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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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