The neurological complications of chikungunya virus: A systematic review

Rev Med Virol. 2018 May;28(3):e1978. doi: 10.1002/rmv.1978. Epub 2018 Apr 19.

Abstract

We performed a systematic review on the neurological complications of chikungunya virus. Such complications are being reported increasingly, owing primarily to the scale of recent epidemics but also to a growing understanding of the virus' neurovirulence. We performed a thorough literature search using PubMed and Scopus databases, summating the data on all published reports of neurological disease associated with chikungunya virus. We appraised the data for each major condition in adults, children, and neonates, as well as evaluating the latest evidence on disease pathogenesis and management strategies. The review provides a comprehensive summary for clinicians, public health officials, and researchers tackling the challenges associated with this important emerging pathogen.

Keywords: Guillain-Barré syndrome; acute disseminated encephalomyelitis; chikungunya; complications; congenital infections; encephalitis; myelitis; neonatal infection; neurological; optic neuritis; retinitis; uveitis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Biomarkers
  • Chikungunya Fever / complications*
  • Chikungunya Fever / epidemiology
  • Chikungunya Fever / virology*
  • Chikungunya virus / physiology*
  • Disease Management
  • Geography
  • Global Health
  • Humans
  • Nervous System Diseases / diagnosis*
  • Nervous System Diseases / epidemiology
  • Nervous System Diseases / etiology*
  • Nervous System Diseases / physiopathology
  • Symptom Assessment

Substances

  • Biomarkers