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- R Gandelman-Marton, I Kimiagar, A Itzhaki, C Klein, J Theitler, and J M Rabey.
- Department of Neurology, Assaf-Harofeh Medical Center, Zerifin, Israel. revitalgm@hotmail.com
- Clin. Infect. Dis. 2003 Dec 1;37(11):1573-8.
AbstractEighteen adult patients with serologically confirmed West Nile virus (WNV)-associated meningitis or meningoencephalitis were admitted to our hospital during the 2000 West Nile fever outbreak in Israel. Thirteen of the patients had a more severe and prolonged clinical course, and an electroencephalogram (EEG) was, therefore, requested. A specific EEG pattern was seen in 8 patients, consisting of generalized slowing, which was more prominent over the anterior regions. Generalized slowing that was prominent over the temporal area was seen in 2 patients, and intermittent slowing over the temporal region was seen in 1 patient. Two patients had normal EEG findings. We suggest that WNV meningoencephalitis should be considered in the differential diagnosis of meningitis or meningoencephalitis with a prolonged clinical course and anteriorly predominant slowing on an EEG.
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