Table 3.
Selection of Case Reports on CNS Disorders Associated with Primary EBV-Infection Without IM Manifestation
| Symptoms or Syndrome | Age (Years) | EBV in CSF (Copy No.) | Therapy | Outcome | Ref. |
|---|---|---|---|---|---|
| Meningoencephalitis | 2 | Positive | Corticosteroids | Complete remission | [126] |
| Encephalomyelitis and meningoradiculitis. Flaccid paraparesis, confusion. | 23 | Positive | Acyclovir | No immediate effect. Positive outcome. |
[59] |
| Meningoencephalomyelitis | 15 | 400 copies/mL | Acyclovir Ganciclovir Corticosteroids |
Positive outcome | [58] |
| Encephalitis | 21 | Positive | Acyclovir Immunoglobulin |
Good recovery | [127] |
| Encephalitis | 8 | Negative | Acyclovir Corticosteroids |
Complete remission | [128] |
| Encephalitis, widespread encephalopathy | 8 | 26,400 copies/mL | Gancyclovir Corticosteroids |
Positive outcome | [129] |
| Acute cerebellar ataxia | 42 | 7843 copies/mL | Supportive | Complete remission in two weeks | [130] |
| Acute cerebellar ataxia | 38 | ND | Acyclovir Immunoglobulin |
Positive outcome | [73] |
| Acute cerebellar ataxia | 23 | Negative | Acyclovir Corticosteroids |
Remission after dexamethasone. No residual deficit |
[72] |
| Acute cerebellar ataxia | 23 | Negative | Immunoglobulin | Rapid resolution | [74] |
| Acute cerebellitis | 37 | Negative | Acyclovir Corticosteroids |
Complete remission | [131] |
Note: All cases presented with EBV serology suggestive of primary infection.