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<meta name="DC.Title" content="Brain MR Imaging of Patients with Perinatal Chikungunya Virus Infection" />
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<meta name="DC.Description" content="SUMMARY: Since 2005, it has been known that mother-to-child transmission of the chikungunya virus is possible. Transmission generally occurs in the perinatal period. In the present study, we describe the brain lesions seen on MR imaging of 6 cases of perinatal chikungunya infection. Patients who underwent brain MR imaging in the acute phase presented with areas of restricted diffusion in the white matter, suggesting a perivascular distribution, whereas those in the subacute/late phase showed cystic lesions, also with a perivascular distribution, with or without brain atrophy. One patient also presented with scattered hemorrhages in the frontal and parietal lobes. Important differential diagnoses include rotavirus, Parechovirus, herpes simplex infection, and hypoxic-ischemic encephalopathy, depending on the disease phase.

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<meta name="DC.Contributor" content="D.G. Corrêa" />
<meta name="DC.Contributor" content="T. A. L. Freddi" />
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&lt;p&gt;Since 2005, it has been known that mother-to-child transmission of the chikungunya virus is possible. Transmission generally occurs in the perinatal period. In the present study, we describe the brain lesions seen on MR imaging of 6 cases of perinatal chikungunya infection. Patients who underwent brain MR imaging in the acute phase presented with areas of restricted diffusion in the white matter, suggesting a perivascular distribution, whereas those in the subacute/late phase showed cystic lesions, also with a perivascular distribution, with or without brain atrophy. One patient also presented with scattered hemorrhages in the frontal and parietal lobes. Important differential diagnoses include rotavirus, Parechovirus, herpes simplex infection, and hypoxic-ischemic encephalopathy, depending on the disease phase.&lt;/p&gt;" />
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<meta name="twitter:title" content="Brain MR Imaging of Patients with Perinatal Chikungunya Virus Infection" />
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<meta name="twitter:description" content="SUMMARY: Since 2005, it has been known that mother-to-child transmission of the chikungunya virus is possible. Transmission generally occurs in the perinatal period. In the present study, we describe the brain lesions seen on MR imaging of 6 cases of perinatal chikungunya infection. Patients who underwent brain MR imaging in the acute phase presented with areas of restricted diffusion in the white matter, suggesting a perivascular distribution, whereas those in the subacute/late phase showed cystic lesions, also with a perivascular distribution, with or without brain atrophy. One patient also presented with scattered hemorrhages in the frontal and parietal lobes. Important differential diagnoses include rotavirus, Parechovirus, herpes simplex infection, and hypoxic-ischemic encephalopathy, depending on the disease phase.

CHIKV
:   chikungunya virus
IgM
:   immunoglobulin M
RT-PCR
:   reverse transcription–polymerase chain reaction" />
<meta name="og-title" property="og:title" content="Brain MR Imaging of Patients with Perinatal Chikungunya Virus Infection" />
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<meta name="og-description" property="og:description" content="SUMMARY: Since 2005, it has been known that mother-to-child transmission of the chikungunya virus is possible. Transmission generally occurs in the perinatal period. In the present study, we describe the brain lesions seen on MR imaging of 6 cases of perinatal chikungunya infection. Patients who underwent brain MR imaging in the acute phase presented with areas of restricted diffusion in the white matter, suggesting a perivascular distribution, whereas those in the subacute/late phase showed cystic lesions, also with a perivascular distribution, with or without brain atrophy. One patient also presented with scattered hemorrhages in the frontal and parietal lobes. Important differential diagnoses include rotavirus, Parechovirus, herpes simplex infection, and hypoxic-ischemic encephalopathy, depending on the disease phase.

CHIKV
:   chikungunya virus
IgM
:   immunoglobulin M
RT-PCR
:   reverse transcription–polymerase chain reaction" />
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      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">Pediatrics</span></span></div>
  
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      <h1 class="highwire-cite-title" id="page-title">Brain MR Imaging of Patients with Perinatal Chikungunya Virus Infection</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">D.G. Corrêa</span>, <span class="highwire-citation-author" data-delta="1">T. A. L. Freddi</span>, <span class="highwire-citation-author" data-delta="2">H. Werner</span>, <span class="highwire-citation-author" data-delta="3">F.P.P.L. Lopes</span>, <span class="highwire-citation-author" data-delta="4">M.E.L. Moreira</span>, <span class="highwire-citation-author" data-delta="5">F.C.P. de Almeida Di Maio Ferreira</span>, <span class="highwire-citation-author" data-delta="6">J.M. de Andrade Lopes</span>, <span class="highwire-citation-author" data-delta="7">F.C. Rueda-Lopes</span> and <span class="highwire-citation-author" data-delta="8">L.C.H. da Cruz</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">January 2020,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(1) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">174-177; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A6339 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-72455--61630047915" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">D.G. Corrêa </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Clínica de Diagnóstico por Imagem/Diagnósticos da América (D.G.C., H.W., F.P.P.L.L., F.C.R.-L., L.C.H.d.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=D.G.%2BCorr%C3%AAa%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Corr%C3%AAa%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AD.G.%2BCorr%25C3%25AAa%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-4902-0021" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for D.G. Corrêa</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">T. A. L. Freddi </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Rio de Janeiro, RJ, Brazil; Department of Radiology (T.A.L.F.), Hospital do Coração, São Paulo, SP, Brazil</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=T.%2BA.%2BL.%2BFreddi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Freddi%20TA&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AT.%2BA.%2BL.%2BFreddi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-0324-8568" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for T. A. L. Freddi</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">H. Werner </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Clínica de Diagnóstico por Imagem/Diagnósticos da América (D.G.C., H.W., F.P.P.L.L., F.C.R.-L., L.C.H.d.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=H.%2BWerner%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Werner%20H&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AH.%2BWerner%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-8620-7293" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for H. Werner</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">F.P.P.L. Lopes </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Clínica de Diagnóstico por Imagem/Diagnósticos da América (D.G.C., H.W., F.P.P.L.L., F.C.R.-L., L.C.H.d.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=F.P.P.L.%2BLopes%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Lopes%20F&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AF.P.P.L.%2BLopes%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-6713-4041" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for F.P.P.L. Lopes</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">M.E.L. Moreira </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Clínica Perinatal (M.E.L.M., F.C.P.d.A.D.M.F., J.M.d.A.L.), Rio de Janeiro, RJ, Brazil.</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.E.L.%2BMoreira%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Moreira%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AM.E.L.%2BMoreira%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-2034-0294" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for M.E.L. Moreira</a></li></ul></div><div class="author-tooltip-5"><div class="author-tooltip-name">F.C.P. de Almeida Di Maio Ferreira </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Clínica Perinatal (M.E.L.M., F.C.P.d.A.D.M.F., J.M.d.A.L.), Rio de Janeiro, RJ, Brazil.</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=F.C.P.%2Bde%2BAlmeida%2BDi%2BMaio%2BFerreira%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=de%20Almeida%20Di%20Maio%20Ferreira%20F&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AF.C.P.%2Bde%2BAlmeida%2BDi%2BMaio%2BFerreira%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-2540-8665" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for F.C.P. de Almeida Di Maio Ferreira</a></li></ul></div><div class="author-tooltip-6"><div class="author-tooltip-name">J.M. de Andrade Lopes </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Clínica Perinatal (M.E.L.M., F.C.P.d.A.D.M.F., J.M.d.A.L.), Rio de Janeiro, RJ, Brazil.</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=J.M.%2Bde%2BAndrade%2BLopes%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=de%20Andrade%20Lopes%20J&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AJ.M.%2Bde%2BAndrade%2BLopes%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-2356-4656" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for J.M. de Andrade Lopes</a></li></ul></div><div class="author-tooltip-7"><div class="author-tooltip-name">F.C. Rueda-Lopes </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Clínica de Diagnóstico por Imagem/Diagnósticos da América (D.G.C., H.W., F.P.P.L.L., F.C.R.-L., L.C.H.d.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=F.C.%2BRueda-Lopes%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Rueda-Lopes%20F&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AF.C.%2BRueda-Lopes%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-3782-8624" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for F.C. Rueda-Lopes</a></li></ul></div><div class="author-tooltip-8"><div class="author-tooltip-name">L.C.H. da Cruz <span class="nlm-suffix">Jr</span></div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Clínica de Diagnóstico por Imagem/Diagnósticos da América (D.G.C., H.W., F.P.P.L.L., F.C.R.-L., L.C.H.d.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=L.C.H.%2Bda%2BCruz%2B%3Cspan%2Bclass%3D%22nlm-suffix%22%3EJr%3C/span%3E" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=da%20Cruz%20L&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AL.C.H.%2Bda%2BCruz%2BJr" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-9771-5832" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for L.C.H. da Cruz <span class="nlm-suffix">Jr</span></a></li></ul></div></div></div>  </div>

  
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      <div class="highwire-cite-title">Brain MR Imaging of Patients with Perinatal Chikungunya Virus Infection</div>  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Jan 2020, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(1) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">174-177; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A6339 </span></div>
  
  
  
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">D.G.</span> <span class="nlm-surname">Corrêa</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">T. A. L.</span> <span class="nlm-surname">Freddi</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">H.</span> <span class="nlm-surname">Werner</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">F.P.P.L.</span> <span class="nlm-surname">Lopes</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">M.E.L.</span> <span class="nlm-surname">Moreira</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">F.C.P.</span> <span class="nlm-surname">de Almeida Di Maio Ferreira</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">J.M.</span> <span class="nlm-surname">de Andrade Lopes</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">F.C.</span> <span class="nlm-surname">Rueda-Lopes</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">L.C.H.</span> <span class="nlm-surname">da Cruz</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Jan 2020, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(1) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">174-177; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A6339 </span></div>
  
  
  
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