Case Series of Severe Neurologic Sequelae of Ebola Virus Disease during Epidemic, Sierra Leone.

Journal: Emerging infectious diseases

Volume: 24

Issue: 8

Year of Publication: 2019

Affiliated Institutions: 

Abstract summary 

We describe a case series of 35 Ebola virus disease (EVD) survivors during the epidemic in West Africa who had neurologic and accompanying psychiatric sequelae. Survivors meeting neurologic criteria were invited from a cohort of 361 EVD survivors to attend a preliminary clinic. Those whose severe neurologic features were documented in the preliminary clinic were referred for specialist neurologic evaluation, ophthalmologic examination, and psychiatric assessment. Of 35 survivors with neurologic sequelae, 13 had migraine headache, 2 stroke, 2 peripheral sensory neuropathy, and 2 peripheral nerve lesions. Of brain computed tomography scans of 17 patients, 3 showed cerebral and/or cerebellar atrophy and 2 confirmed strokes. Sixteen patients required mental health followup; psychiatric disorders were diagnosed in 5. The 10 patients who experienced greatest disability had co-existing physical and mental health conditions. EVD survivors may have ongoing central and peripheral nervous system disorders, including previously unrecognized migraine headaches and stroke.

Authors & Co-authors:  Howlett Walder Lisk Fitzgerald Sevalie Lado N'jai Brown Sahr Sesay Read Steptoe Beare Dwivedi Solbrig Deen Solomon Semple Scott

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization. Ebola Situation Report—30 March 2016. [cited 2018 May 15] Ebola. http://apps.who.int/ebola/current-situation/ebola-situation-report-30-march-2016
Authors :  19
Identifiers
Doi : 10.3201/eid2408.171367
SSN : 1080-6059
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
34 Military Hospital;34MH;34th Military Hospital;Ebola;Freetown;Military Hospital 34;Sierra Leone;West Africa;choriomeningioencephalitis;meningitis;meningoencephalitis;migraine;neurologic;ophthalmic;psychiatric;viral sequelae;viruses
Study Design
Study Approach
Country of Study
Sierra leone
Publication Country
United States