Abstract:AIM: To investigate extent and nature of visual pathways involvement in children with acute viral encephalitis.
METHODS: Thirty patients(age 5-12 years)with acute viral encephalitis underwent visual evoked potentials(VEP)investigation within 12 days from the appearance of the first signs of disease. Latency and amplitude of P100 peak were compared with normative data and between patients with varicella and tick-borne encephalitis.
RESULTS: There were no significant differences between children with these two forms of encephalitis. In the whole group in 40% of the cases signs of the visual cortex dysfunction(P100 amplitude lowering)and mild slowing of the conductivity along the visual pathways(P100 latency lengthening)were seen. In 3% of the cases retrobulbar optic neuritis was diagnosed.
CONCLUSION:The results indicate that visual pathway have good endurance to the viral encephalitis anatomically, but functionally visual cortex is quite vulnerable towards general disturbances caused by this kind of illness.