Electroencephalography Findings in Adult Patients with West Nile Virus--Associated Meningitis and Meningoencephalitis
Clinical Infectious DiseasesPublished 17 November 2003
Revital Gandelman‐Marton, Itzhak Kimiagar, Avi Itzhaki, C. Klein, Jacques Theitler, J. M. Rabey
Citations58
SJR quartileQ1
SJR score2.99
SNIP2.01
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TL;DR
It is suggested 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.
Abstract
Eighteen 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.
Keywords
Medicine
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