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Table 4 Influenza typing, CSF analysis, neuroradiological imaging, clinical case definition, comorbidity, treatment and outcome

From: Characteristics and outcome of influenza-associated encephalopathy/encephalitis among children in a tertiary pediatric hospital in Italy, 2017–2019

Patient (n)

Age (months)

Influenza virus subtype

CSF analysis

EEG pattern

Brain CT/MRI

Diagnosis

Comorbidity

Oseltamivir

Steroids

Outcome

1

7

H3N2

Normal

Generalized slowing

Not performed

Encephalitis

no

yes

no

Recovery without sequelae

2

1

H1N1

pleocytosis, elevated protein levels

Not performed

Not performed

Encephalitis

pulmonary stenosis

no

no

Recovery without sequelae

3

7

H1N1

Normal

Generalized slowing

Not performed

Encephalitis

ventriculomegaly

yes

yes

Recovery without sequelae

4

20

H1N1

Not performed

Not performed

Not performed

Encephalopathy

no

no

No

Recovery without sequelae

5

14

H1N1

Not performed

Not performed

Not performed

Encephalopathy

no

no

No

Recovery without sequelae

6

38

H1N1

Not performed

Generalized slowing, focal abnormalities

Not performed

Encephalitis

No

no

No

Recovery without sequelae

7

27

H1N1

Not performed

Normal findings

Not performed

Encephalopathy

epileptic encephalopathy

no

No

Recovery without sequelae

8

120

H1N1

Not performed

Normal findings

Not performed

Encephalopathy

no

no

no

Recovery without sequelae

9

72

H3N2

Normal findings

Generalized slowing

CT: normal findings

MRI: expansion of some perivascular spaces in periventricular white matter

Encephalitis

epilepsy

no

yes

Recovery without sequelae

10

6

H1N1

Normal findings

Normal findings

CT: Normal findings

MRI: not performed

Encephalopathy

No

no

no

Recovery without sequelae

11

30

H1N1

Not performed

Consistent with comorbidity (Dravet syndrome)

CT: Normal findings

MRI: consistent with comorbidity (Dravet syndrome)

Encephalopathy

No

no

yes

Recovery without sequelae

12

25

H1N1

Normal findings

Normal findings

CT: Normal findings

MRI: cortical and subcortical areas DWI-hyperintense and ADC hypointense

Encephalitis

Dravet syndrome

no

yes

Minimal sequelae

13

48

H1N1

Not performed

Not performed

Not performed

Encephalopathy

no

no

no

Recovery without sequelae

14

72

B

Not performed

Generalized slowing

Not performed

Encephalitis

No

no

no

Recovery without sequelae

15

48

H1N1

Mildly elevated protein levels

Focal slow wave activity

CT: Hypodensity of cerebral white matter at the vertex

MRI: diffusion-restricted areas in periventricular white matter and semioval center

Encephalitis

No

no

yes

Recovery without sequelae