Neurological manifestations of hepatitis E virus infection: An overview

Table 4 Clinical description of nerve root and plexus disorders, n = 125

Nerve root and plexus disorders	Source of infection	Hepatitis-neurological involvement interval	Type of involvement, n (%)	Specific remarks, n (%)
Neuralgic amyotrophy (n = 64)	Described in 9. Sausage figatelli: 3; Vegetables: 2; Uncooked pork: 1; Manipulation of horse manure: 1; Travel history: 2	Described in 29. Mean delay: 8.4 d	Described in 54. Brachial plexus involvement: Bilateral 48 (89) [right > left: 15 (60); left > right: 10 (40); not described: 23]; Unilateral 6 (11) [right: 5 (83); left: 1]	94% had normal bilirubin levels. EMG findings mentioned: 34; Denervation and/or damage of brachial plexus: 31 (91)
Guillain-Barré syndrome (n = 61)	Described in 5. Sausage figatelli: 2; Uncooked pork: 1; Dear meat: 1; Contact with farm animals: 1	Described in 51. Mean delay:15 d; Concomitant: 6 patients	Described in 38. Acute inflammatory demyelinating polyneuropathy: 28 (74); Acute motor-sensory axonal neuropathy: 5 (13); Acute motor axonal neuropathy: 4 (11); Miller Fisher syndrome: 1 (3)	82% had normal bilirubin levels; Anti-ganglioside GM1 antibodies: 4; Anti-ganglioside GM 2 antibodies: 4; Anti-GQ1b ganglioside antibody: 1

EMG: Electromyography.