% 0期刊文章% Maximiliano A·霍克斯%伊万·d·Carabenciov % Eelco调频。Wijdicks % Alejandro A . Rabinstein % T西尼罗河病毒神经感染性疾病的长期结果。(S41.006) % D J神经病学20首页18% % P S41.006 % V 90% N 15补充% X目的:评估患者的短期和长期的结果西尼罗河病毒神经感染性疾病(WNND)。背景:只有1%的患者急性西尼罗河病毒感染神经系统的参与,是死亡和残疾的主要决定因素。然而,这些病人很少的数据结果。设计/方法:患者年龄> 18岁WNND被确定。人口统计数据、表现症状住院,住院死亡率,改良Rankin规模(夫人)放电回顾性的图表总结收集和处理。患者通过电话联系更新要害地位。夫人,项线人面试(AD8)和认知状态(抽搐)电话采访中得到评估剩余身体和认知障碍。后续数据和病人的女士通过电话无法联系到图表回顾在可能的情况下获得的。结果:有26 WNND患者。他们中的大多数出现脑炎(46%)或脑炎和急性弛缓性麻痹(42%)。 Three patients developed coma (11.5 %), and 14 (53%) required mechanical ventilation. The median hospital stay was 14.5 days (3–126). Four patients died in the hospital (15%). The mRS at discharge was 3–5 in 90% of survivors. Most patients were discharged to rehabilitation (65%) or home (22%). The median follow-up was 73 months (0.3–144). Two patients died and 6 were lost to follow-up. Almost 80 % of survivors had a mRS 0–2. Six patients returned to their home in ≤1 month and 10 after a median of 3 months (1–10). Fourteen patients were contacted. One half of them had a TICS≤31 and 3 patients had an AD8≥2.Conclusions: Despite having a high short-term morbidity and mortality, a substantial proportion of patients with WNND had a significant improvement over time. Aggressive supportive treatment is warranted for these patients in the acute setting.Disclosure: Dr. Hawkes has nothing to disclose. Dr. Carabenciov has nothing to disclose. Dr Wijdicks has nothing to disclose. Dr Rabinstein has nothing to disclose. %U

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