Clinical features

Signs and symptoms:

General: pyrexia, myalgia, etc.

Specific to causative virus, e.g. features of infectious mononucleosis (Epstein-Barr). Meningeal involvement (slight) -* neck stiffness, cellular response in CSF. Signs and symptoms of parenchymal involvement - focal and/or diffuse.

Cerebrum - coma, confusion, dysphasia, hemiparesis, involuntary movements and epilepsy


In general, the illness lasts for some weeks. Prognosis is uncertain and depends on the causal virus as do neurological sequelae.

oculomotor palsy, autonomic disturbance dysarthria, ataxia cranial nerve palsies, nystagmus, tetraparesis autonomic, motor, sensory dysfunction

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