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Transcript of 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of...
![Page 1: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/1.jpg)
1Copyright © 2014 Elsevier Inc. All rights reserved.
Chapter 43
Nervous System Complications of Systemic Viral Infections
John E. Greenlee
![Page 2: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/2.jpg)
2Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-1 A, Magnetic resonance imaging (MRI) of herpes simplex virus encephalitis. T2-weighted fluid-attenuated inversion recovery (FLAIR) sequence showing increased signal in right temporal lobe, insula, and orbitofrontal cortex. There is also involvement of the left insula. B, T1-weighted MRI 6 months after infection, showing massive destruction of the left temporal lobe.
![Page 3: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/3.jpg)
3Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-2 Distribution of West Nile virus in the United States showing cases of infection and WNV identified in blood donors, 2012.(From the US Centers for Disease Control and Prevention.)
![Page 4: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/4.jpg)
4Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-3 Distribution of cases of West Nile neuroinvasive disease in the United States, 2012.(From the US Centers for Disease Control and Prevention.)
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5Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-4 Progressive multifocal leukoencephalopathy (PML): axial T2-weighted MRI showing multifocal involvement of cerebral white matter.
![Page 6: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/6.jpg)
6Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-5 FLAIR MRI showing PML with immune reconstitution inflammatory syndrome (IRIS) in a patient with human immunodeficiency virus (HIV) following institution of antiretroviral therapy. There is edema in and surrounding a lesion within the left posterior cerebral white matter.
![Page 7: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/7.jpg)
7Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-6 Creutzfeld–Jakob disease. Diffusion-weighted MRI image showing restricted diffusion within the cortical ribbon of the posterior hemispheres bilaterally.
![Page 8: 1 Copyright © 2014 Elsevier Inc. All rights reserved. Chapter 43 Nervous System Complications of Systemic Viral Infections John E. Greenlee.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e8a5503460f94b8f2e9/html5/thumbnails/8.jpg)
8Copyright © 2014 Elsevier Inc. All rights reserved.
Figure 43-7 Acute disseminated encephalomyelitis. T2-weighted MRI showing multifocal areas of increased signal in the white matter.(From Wender M: Acute disseminated encephalomyelitis (ADEM). J Neuroimmunol 231:92, 2011, with permission from Elsevier.)