• Victoria Bîrluţiu and Rareş Mircea Bîrluţiu.
• Faculty of Medicine Sibiu, "Lucian Blaga" University Sibiu, Alba-Iulia Str, No,79 23/8, Sibiu 550052, Romania. victoriabirlutiu@yahoo.com.
• J Med Case Rep. 2014 Jun 26; 8: 232.

IntroductionOpsoclonus-myoclonus syndrome is a very rare neurological disorder associated with some viral infections and exceptionally with the West Nile virus.Case PresentationA 57-year-old Caucasian woman presented with fever, dizziness, balance difficulties, vomiting, dancing eye, altered speech, tremor, generalized myoclonus and failure to rise or stand. Our objective is to describe a patient with West Nile infection, which was identified both in her serum and cerebrospinal fluid and was associated with encephalitis and opsoclonus-myoclonus-ataxia syndrome.ConclusionsOpsoclonus-myoclonus-ataxia syndrome continued for 4 weeks after onset, when she died. There was no evidence for any other etiology responsible for her opsoclonus-myoclonus syndrome. Her opsoclonus-myoclonus syndrome appeared associated with West Nile encephalitis and had an unfavorable evolution despite treatment.

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