Zika virus infection (ZIKV): clinical features

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

Zika virus infection (ZIKV): clinical features. Microcephaly, White matter calcifications. Fully referenced neurology checklist.

Brain abnormalities

  • Microcephaly
  • White matter calcifications
  • Dysgenesis of the corpus callosum and cerebellar vermis
  • Ventriculomegaly
  • Enlarged cisterna magna
  • Cerebral atrophy
  • Cerebellar hypoplasia
  • Lissencephaly
  • Hydrocephalus

Central neurological features

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Peripheral neurological features

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Ocular features

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Systemic features

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Differential diagnosis

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References

  1. Oliveira Melo AS, Malinger G, Ximenes R, Szejnfeld PO, Alves Sampaio S, Bispo de Filippis AM. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016; 47:6-7.
  2. Melo AS, Aguiar RS, Amorim MM, et al. Congenital zika virus infection: beyond neonatal microcephaly. JAMA Neurol 2016; 73:1407-1416.
  3. van der Linden V, de Lima Petribu NC, Pessoa A, et al. Association of severe hydrocephalus with congenital zika syndrome. JAMA Neurol 2018; doi: 10.1001/jamaneurol.2018.3553 (Epub ahead of print).
  4. Jucá E, Pessoa A, Ribeiro E, et al. Hydrocephalus associated to congenital Zika syndrome: does shunting improve clinical features? Childs Nerv Syst 2018; 34:101-106. 
  5. Carteaux G, Maquart M, Bedet A, et al. Zika virus associated meningoencephalitis. N Engl J Med 2016; 374:1595-1596. 
  6. And 25 more. Subscribe to see the full list

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