Inflammatory and Infectious Diseases of the Nervous System
Inflammatory and Infectious Diseases of the Nervous System
Background:

 - Inflammation is how the body reacts to infection or injury. . Infections or inflammation in
 the brain and nerves can be serious. There aren t always good tests to detect this.
 Researchers want to learn more about how diseases affect the brain and nerves to develop
 better tests and treatments.

 Objective:

 - To learn more about how inflammation and infections hurt the brain and nervous system.

 Eligibility:

 - People at least 2 years old with a diagnosis or suspected diagnosis of nervous system
 infection or inflammation.

 Design:

 -  For some participants, a clinician outside of NIH will collect blood, tissue, and other
 samples. These will be sent to NIH and analyzed.

 -  Other participants will have several visits to NIH. Children may not have all these
 tests.

 -  Participants will have:

 -  Medical history.

 -  Physical and neurological exam.

 -  Blood and urine samples collected.

 -  Saliva collected. They will chew on a piece of sterile cotton for one minute.

 -  Magnetic resonance imaging (MRI) scan. The scanner is a metal cylinder in a strong
 magnetic field. Participants will lie on a table that slides in and out of the cylinder.
 Participants will get a contrast agent through an intravenous (IV) catheter during the
 MRI. A needle will be used to guide a thin plastic tube (catheter) into an arm vein.

 -  Lumbar puncture. Skin will be numbed and a needle will be inserted into the space
 between the bones in the back. Fluid will be removed.

 -  Some participants may have optional study procedures. These may include eye tests,
 memory and thinking testing, tests with electrodes on the head, or skin biopsy.
Objective:

 The objective of this study is to examine the natural course of infectious and inflammatory
 diseases of the nervous system, to identify causative or associated pathogens when unknown,
 and generally to better understand the underlying immunological, genetic and pathophysiologic
 mechanisms that cause and contribute to these diseases and their ultimate neurological
 outcomes.

 Study Population:

 The study population will be patients at least 2 years old with known or suspected infection
 or inflammation of the nervous system and family members. Subjects will be recruited through
 referrals to the NIH.

 Design:

 This is a longitudinal case series with standardized research data collection at predefined
 time points. Subjects will have scheduled visits at the NIH either as an outpatient or an
 inpatient. The core research evaluations include: a comprehensive history and neurological
 examination; blood, urine, and saliva collection; neuroimaging; and lumbar puncture.

 Follow up visits will be individualized based on clinical needs and results of research
 evaluations. For some subjects, no additional NIH visits will be necessary

 Additionally, we will also enroll subjects with known or suspected infections or inflammation
 of the nervous system from whom only biological samples collected by outside clinicians will
 be processed and retained for research analyses. In cases were samples remain from those
 collected for clinical reasons and the samples are deidentified, the samples may be obtained
 with a waiver of informed consent.

 Outcome Measures:

 The study outcomes will primarily be the characterizations of varied inflammatory and
 infectious nervous system diseases. These characterizations will include: the clinical
 phenotype and biomarkers.
-  INCLUSION CRITERIA:

 At the time of enrollment, subjects will:

 1. Have a known or suspected infection or inflammation of the nervous system or post
 infection sequelae based on clinical or imaging data provided by the referral
 facility. For the purpose of this study, neuroinfectious disease or neuroinflammation
 is defined as any of the following:

 1. fever with nervous system signs or symptoms (excluding delirium)

 2. any neurological symptoms accompanied by cerebrospinal fluid (CSF) with evidence
 of inflammation (which may include pleocytosis, hypoglycorrachia, elevated
 protein, or other evidence of intrathecal immune activation including IgG index
 or presence of oligoclonal bands)

 3. systemic infection or inflammatory disease with neurological involvement

 4. neuroimaging suggestive of infection or inflammation (for example, presence of
 contrast-enhancing lesions on CT or MRI)

 5. clinical presentation suggestive of infection or inflammatory process of the
 nervous system without better explanation

 6. history of infection or inflammatory process of the nervous system

 2. Be willing to participate in the protocol s procedures, unless clinically
 contraindicated

 3. Be willing to provide informed consent, either directly or via appointed legally
 authorized representative

 4. Be willing to consent for collection of clinical data or biological samples or their
 cryopreservation

 5. Be at least 2 years old

 INCLUSION CRITERIA FOR PROCESSING OF BIOLOGICAL SAMPLES ONLY:

 At the time of enrollment, subjects will:

 1. Have a known or suspected infection or inflammation of the nervous system or post
 infection sequelae based on clinical or imaging data provided by the referral
 facility. For the purpose of this study, neuroinfectious disease or neuroinflammation
 is defined as any of the following:

 1. fever with nervous system signs or symptoms (excluding delirium)

 2. any neurological symptoms accompanied by cerebrospinal fluid (CSF) with evidence
 of inflammation (which may include pleocytosis, hypoglycorrachia, elevated
 protein, or other evidence of intrathecal immune activation including IgG index
 or presence of oligoclonal bands)

 3. systemic infection or inflammatory disease with neurological involvement

 4. neuroimaging suggestive of infection or inflammation (for example, presence of
 contrast-enhancing lesions on CT or MRI)

 5. clinical presentation suggestive of infection or inflammatory process of the
 nervous system without better explanation

 6. history of infection or inflammatory process of nervous system.

 2. Be willing to provide informed consent, either directly or via appointed legally
 authorized representative

 3. Be willing to consent for collection of clinical data or biological samples or their
 cryopreservation

 4. Be at least 2 years old

 EXCLUSION CRITERIA:

 At the time of enrollment, subjects will:

 1. Not have a clinically significant medical condition that, in the best judgment of the
 investigators, may expose the patient to undue risk of harm or prevent the patient
 from completing the study (examples include, but are not limited to, ischemic
 cardiomyopathy, clotting disorder, brittle diabetes)

 2. Not have an acute or unstable medical condition that, in the best judgement of the
 investigator, would be difficult to handle at the NIH Clinical Center

 3. Not have a clearly-established diagnosis of well-characterized disease entity with
 validated treatment algorithms for which proposed resource investment, in the opinion
 of the investigators, would not contribute to further advancement of knowledge

 EXCLUSION CRITERIA FOR PROCESSING OF BIOLOGICAL SAMPLES ONLY:

 At the time of enrollment, subjects will not have:

 1. A clearly-established diagnosis of well-characterized disease entity with validated
 treatment algorithms for which proposed resource investment, in the opinion of the
 investigators, would not contribute to further advancement of knowledge

 INCLUSION CRITERIA FOR FAMILY MEMBERS:

 1. Have a family member enrolled on 15-N-0125

 2. Be at least 2 years old

 3. Be able to provide informed consent and comply with study procedures

 EXCLUSION CRITERIA FOR FAMILY MEMBERS:

 1. Not willing to consent for collection of biological samples or their cryopreservation