Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides

Increased intracranial pressure due to viral meningitis has not been widely discussed in the literature, although associations with Varicella and rarely Enterovirus have been described. Patients with increased intracranial pressure and cerebrospinal fluid analysis suggestive of a viral process are s...

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Main Author: Jules C. Beal
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2017/2854043
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author Jules C. Beal
author_facet Jules C. Beal
author_sort Jules C. Beal
collection DOAJ
description Increased intracranial pressure due to viral meningitis has not been widely discussed in the literature, although associations with Varicella and rarely Enterovirus have been described. Patients with increased intracranial pressure and cerebrospinal fluid analysis suggestive of a viral process are sometimes classified as having atypical idiopathic intracranial hypertension (IIH). However, a diagnosis of IIH requires normal cerebrospinal fluid, and therefore in these cases an infection with secondary intracranial hypertension may be a more likely diagnosis. Here seven patients are presented with elevated intracranial pressure and cerebrospinal fluid suggestive of viral or aseptic meningitis. Of these, 1 had Enterovirus and the remainder were diagnosed with nonspecific viral meningitis. These data suggest that viral meningitis may be associated with elevated intracranial pressure more often than is commonly recognized. Enterovirus has previously been associated with increased intracranial pressure only in rare case reports.
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spelling doaj-art-5f719d5a655f41b08df6625fc950ce492025-08-20T02:23:40ZengWileyNeurology Research International2090-18522090-18602017-01-01201710.1155/2017/28540432854043Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral MeningitidesJules C. Beal0The Saul R. Korey Department of Neurology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USAIncreased intracranial pressure due to viral meningitis has not been widely discussed in the literature, although associations with Varicella and rarely Enterovirus have been described. Patients with increased intracranial pressure and cerebrospinal fluid analysis suggestive of a viral process are sometimes classified as having atypical idiopathic intracranial hypertension (IIH). However, a diagnosis of IIH requires normal cerebrospinal fluid, and therefore in these cases an infection with secondary intracranial hypertension may be a more likely diagnosis. Here seven patients are presented with elevated intracranial pressure and cerebrospinal fluid suggestive of viral or aseptic meningitis. Of these, 1 had Enterovirus and the remainder were diagnosed with nonspecific viral meningitis. These data suggest that viral meningitis may be associated with elevated intracranial pressure more often than is commonly recognized. Enterovirus has previously been associated with increased intracranial pressure only in rare case reports.http://dx.doi.org/10.1155/2017/2854043
spellingShingle Jules C. Beal
Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
Neurology Research International
title Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
title_full Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
title_fullStr Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
title_full_unstemmed Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
title_short Increased Intracranial Pressure in the Setting of Enterovirus and Other Viral Meningitides
title_sort increased intracranial pressure in the setting of enterovirus and other viral meningitides
url http://dx.doi.org/10.1155/2017/2854043
work_keys_str_mv AT julescbeal increasedintracranialpressureinthesettingofenterovirusandotherviralmeningitides