Analysis of 62 adult patients with viral meningitis
10.3760/cma.j.issn.1003-9279.2009.03.019
- VernacularTitle:成人病毒性脑膜炎62例临床分析
- Author:
Rui-Jin WANG
1
;
De-Xia WANG
;
Jia-Wei WANG
;
Zi-Jing FENG
Author Information
1. 首都医科大学附属北京友谊医院
- Keywords:
Meningitis,viral;
Cerebrospinal fluid;
Megnedc resonance angiography
- From:
Chinese Journal of Experimental and Clinical Virology
2009;23(3):218-220
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical manifestation, cerebruspinal fluid(CSF) and auxiliary examination findings of adult viral meningitis. Methods 62 adult patients with viral meningitis were retrospectively analyzed. Results Headache occurred in all the 62(100%) patients, fever occurred in 61 (98%) patients, meningeal irritation sign occurred in 48 (77%) patients. The abduction of left eye was limited in one patient. Seizure occurred in 2 patients. The mean duration time was 17 days, 93% patients less than 30 days. The pressure of CSF increased in 80% patients, leukocyte counts increased in 91% patients, protein level increased in 81% patients, chloride level was normal in 35% patients and sfighfly lower in 65% patients, glucose level was normal in 94% patients. 7 patients had positive IgM antibody of Coxackievirus B group both in serum and CSF,one patient had positive IgM antibody of EB virus in CSF. Cranial CT scan had no special findings in all patients.23 patients performed MRI examination, meningeal enhancement occurred in 9 patients. 52% patients had abnormal EEG, mainly increased local or diffuse slow waves. Conclusion Adult viral meningitis was a kind of selflimited disease, chloride level was shghtly lower in more than half patients, meningeal enhancement was detected in MRI in part patients.
