PROGNOSIS

JORGE T. DE VERA JR.

ACUTE PHASE OF ILLNESS

Supportive and rehabilitative efforts are very important
after patients
recover from the acute phase of illness.

VIRAL CNS
INFECTION

-Visual
disturbances
-Perceptual
amblyopia

-Motor
incoordination
-Convulsive
disorders
-Total or partial
deafness
-Behavioral
disturbances

Neurodevelopment
al
Audiologic
evaluations
*Routine Follow-up
for children.

Approximately 10% of children younger

than 2 yr of age with enteroviral CNS
infections suffer an ACUTE
COMPLICATION:
SEIZURES
INCREASED ICP
COMA.
*Almost all have favorable long-term
neurologic outcome.
ROBBINS AND COTRAN

MOST CHILDREN
RECOVER FROM
VIRAL INFECTION

IN ADULTS:
-prognosis for full recovery is excellent
Rare complaints:
-persisting headache
-mild mental impairment
-Incoordination
generalized asthenia(weeks-months)
INFANTS AND NEONATES
-intellectual impairement
-incoordination
-learning disabilities
-hearing loss
HARRISONS

PROGNOSIS
DEPENDS ON:
-CLINICAL
ILLNESS(Sev)
-CAUSATIVE
ORGANISM
-AGE OF CHILD

POOR PROGNOSIS
-CLINICAL ILLNESS SEVERE
-SUBSTANTIAL PARENCHYMAL
INVOLVEMENT IS EVIDENT
-INFECTION CAUSED BY HSV
-INFANTS > OLDER CHILDREN