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Review article| Volume 23, ISSUE 4, P843-865, December 2003

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Molecular diagnosis of viral infections of the central nervous system

  • José R Romero
    Correspondence
    Corresponding author. Department of Pediatrics, Pathology, and Microbiology, Combined Division of Pediatric Infectious Diseases, 982165 Nebraska Medical Center Omaha, NE 68198.
    Affiliations
    Combined Division of Pediatric Infectious Diseases, Departments of Pediatrics, Pathology, and Microbiology, University of Nebraska Medical Center and Creighton University, 982165 Nebraska Medical Center, Omaha, NE 68198, USA
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  • David W Kimberlin
    Affiliations
    Department of Pediatrics, Division of Pediatric Infectious Diseases, The University of Alabama at Birmingham, 1600 Seventh Avenue South, Suite 616, Birmingham, AL 35233, USA
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      The development of techniques for the amplification of DNA and RNA opened the way for the cre ation of extremely specific, sensitive, and rapid diagnostic tests for the detection of viral infections of the central nervous system (CNS). Polymerase chain reaction (PCR) and reverse transcription PCR (RT-PCR) diagnostic assays have revolutionized the approach to the diagnosis of important viral pathogens—in particular, enteroviruses (EVs), herpes viruses, and JC virus (JCV). These molecular approaches to diagnosis have led to improvements in clinical outcome and patient care. Additionally, their use has permitted a better understanding of the natural history and clinical spectrum of the syndromes caused by these important human pathogens. This review summarizes the current understanding with regard to the available, molecularly based, diagnostic assays for the detection of EVs, herpes viruses, and JCV.
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