Long-term effects from bacterial meningitis in childhood and adolescence on postural control.

Bacterial meningitis in childhood is associated with cognitive deficiencies, sensorimotor impairments and motor dysfunction later in life. However, the long-term effects on postural control is largely unknown, e.g., whether meningitis subjects as adults fully can utilize visual information and adapt...

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Main Authors: Hannes Petersen, Mitesh Patel, Einar F Ingason, Einar J Einarsson, Ásgeir Haraldsson, Per-Anders Fransson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4236047?pdf=render
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author Hannes Petersen
Mitesh Patel
Mitesh Patel
Einar F Ingason
Einar J Einarsson
Ásgeir Haraldsson
Per-Anders Fransson
author_facet Hannes Petersen
Mitesh Patel
Mitesh Patel
Einar F Ingason
Einar J Einarsson
Ásgeir Haraldsson
Per-Anders Fransson
author_sort Hannes Petersen
collection DOAJ
description Bacterial meningitis in childhood is associated with cognitive deficiencies, sensorimotor impairments and motor dysfunction later in life. However, the long-term effects on postural control is largely unknown, e.g., whether meningitis subjects as adults fully can utilize visual information and adaptation to enhance stability. Thirty-six subjects (20 women, mean age 19.3 years) treated in childhood or adolescence for bacterial meningitis, and 25 controls (13 women, mean age 25.1 years) performed posturography with eyes open and closed under unperturbed and perturbed standing. The meningitis subjects were screened for subjective vertigo symptoms using a questionnaire, clinically tested with headshake and head thrust test, as well as their hearing was evaluated. Meningitis subjects were significantly more unstable than controls during unperturbed (p≤0.014) and perturbed standing, though while perturbed only with eyes open in anteroposterior direction (p = 0.034) whereas in lateral direction both with eyes open and closed (p<0.001). Meningitis subjects had poorer adaption ability to balance perturbations especially with eyes open, and they frequently reported symptoms of unsteadiness (88% of the subjects) and dizziness (81%), which was found significantly correlated to objectively decreased stability. Out of the 36 subjects only 3 had unilateral hearing impairment. Hence, survivors of childhood bacterial meningitis may suffer long-term disorders affecting postural control, and would greatly benefit if these common late effects became generally known so treatments can be developed and applied.
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spelling doaj.art-d76597458d2143ee96136f0886fa51312022-12-22T03:46:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11201610.1371/journal.pone.0112016Long-term effects from bacterial meningitis in childhood and adolescence on postural control.Hannes PetersenMitesh PatelMitesh PatelEinar F IngasonEinar J EinarssonÁsgeir HaraldssonPer-Anders FranssonBacterial meningitis in childhood is associated with cognitive deficiencies, sensorimotor impairments and motor dysfunction later in life. However, the long-term effects on postural control is largely unknown, e.g., whether meningitis subjects as adults fully can utilize visual information and adaptation to enhance stability. Thirty-six subjects (20 women, mean age 19.3 years) treated in childhood or adolescence for bacterial meningitis, and 25 controls (13 women, mean age 25.1 years) performed posturography with eyes open and closed under unperturbed and perturbed standing. The meningitis subjects were screened for subjective vertigo symptoms using a questionnaire, clinically tested with headshake and head thrust test, as well as their hearing was evaluated. Meningitis subjects were significantly more unstable than controls during unperturbed (p≤0.014) and perturbed standing, though while perturbed only with eyes open in anteroposterior direction (p = 0.034) whereas in lateral direction both with eyes open and closed (p<0.001). Meningitis subjects had poorer adaption ability to balance perturbations especially with eyes open, and they frequently reported symptoms of unsteadiness (88% of the subjects) and dizziness (81%), which was found significantly correlated to objectively decreased stability. Out of the 36 subjects only 3 had unilateral hearing impairment. Hence, survivors of childhood bacterial meningitis may suffer long-term disorders affecting postural control, and would greatly benefit if these common late effects became generally known so treatments can be developed and applied.http://europepmc.org/articles/PMC4236047?pdf=render
spellingShingle Hannes Petersen
Mitesh Patel
Mitesh Patel
Einar F Ingason
Einar J Einarsson
Ásgeir Haraldsson
Per-Anders Fransson
Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
PLoS ONE
title Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
title_full Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
title_fullStr Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
title_full_unstemmed Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
title_short Long-term effects from bacterial meningitis in childhood and adolescence on postural control.
title_sort long term effects from bacterial meningitis in childhood and adolescence on postural control
url http://europepmc.org/articles/PMC4236047?pdf=render
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