Quantitative Electroencephalography Indicators in Children with Acute Purulent Meningitis.

The aim of the present work was to assess the state of brain bioelectrical activity in children during the acute period of bacterial purulent meningitis, with quantitative mathematical analysis of the changes found. The studies included 31 children on days 1 and 6 from onset of illness: 16 children (8.9 ± 2.

[Clinical-etiological and MRI parallels of encephalitis in children].

Objective: Improving the diagnosis of encephalitis (EF) in children by establishing clinical, etiological and MRI parallels.

Material And Methods: 364 children aged from 1 month to 17 years with EF were examined. MRI of the brain and spinal cord, blood and CSF examination for herpes viruses type 1-6 (HHV), enteroviruses (EV), tick-borne encephalitis viruses (TBEV), (BB), varicella zoster (VVZ), herpes simplex (HSV1) and Epstein-Barr (EBV) were performed.

[Herpesviruses and biomarkers in disseminated encephalomyelitis and multiple sclerosis in children (part II)].

Recently, the problem of demyelinating diseases in children is still very acute. This occurs, on the one hand, by high access and specificity of diagnostic methods and, on the other hand - by high morbidity of children different neuroinfectious diseases which can lead to demyelinating diseases. This literature review presents the currently available information on the autoantibodies and neurospecific protein role in the development of multiple sclerosis and acute disseminative encephalitis in children.

[Herpesviruses and biomarkers in disseminated encephalomyelitis and multiple sclerosis in children].

The relevance of the study of demyelinating diseases is due to their increasing frequency in children, clarification of the role of infectious agents in their genesis, as well as the possibility of transformation of disseminated encephalomyelitis into multiple sclerosis. The literature review presents the currently available information on the causes of the development of demyelinating diseases, biomarkers of disseminated encephalomyelitis and multiple sclerosis, the causes of an unfavorable course and possible laboratory parameters indicating the transition from one disease to another, which can be used as prognostic factors. The authors also noted the experience of the authors on the importance of adequate etiopathogenetic therapy in changing the nature of the course of the disease, in particular, when confirming the relationship between the frequency of exacerbations of ADEM and MS with the activation of herpesvirus infections, courses of specific antiviral therapy are effective, as well as pathogenetic therapy aimed at correcting endothelial dysfunction using the drug cytoflavin.

[COMPLEXITIES IN THE DIFFERENTIAL DIAGNOSIS OF MULTIPLE SCLEROSIS AND HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (CLINICAL CASE)].

Demyelinating diseases of the central nervous system in children are characterized by the complexity of differential diagnosis and require an integrated approach using laboratory and instrumental studies. The clinical observation of a child with gradually progressing neurological symptoms and the presence of focal changes in the brain demonstrates the difficulty of differential diagnosis between demyelinating disease, neuroinfection and hematologic disease (hemophagocytic lymphohistiocytosis), which initialized with CNS damage. The article presents the tactics of etio-pathogenetic treatment of a patient during differential diagnosis with the use of cytoflavin in complex therapy as a multi-factor drug that allows to stabilize the patient's condition.