[Pathogenetic aspects of autoantibody formation to central nervous system structures in patients with encephalitis]

In this article we review the world literature on the influence of infectious agents on the development of autoimmune encephalitis in children and adults, as well as modern ideas about the transformation of infectious encephalitis into autoimmune one. The information is presented about the main links of pathogenesis reflecting the dysfunction of the immune system, which may explain the formation of autoantibodies and the beginning of autoimmune mechanisms of damage to the structures of the central nervous system. The characteristics of laboratory parameters that can be used as prognostic markers to determine the severity of the course of infectious encephalitis and the probability of their transformation into autoimmune encephalitis are given. Proposals are presented on the tactics of etiotropic therapy in patients with suspected infectious encephalitis using the drug meglumine acridone acetate- cycloferon, which has antiviral, immunomodulatory and anti-inflammatory effects.

[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. The authors also describe their experience of complex etiopatogenic therapy and cytoflavin use that helps to reduce frequency and expression of demyelinating process and endothelium dysfunction in case of active herpesvirus infection.

[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.