Journal Article

Electroencephalography Findings in Adult Patients with West Nile Virus—Associated Meningitis and Meningoencephalitis

R. Gandelman-Marton, I. Kimiagar, A. Itzhaki, C. Klein, J. Theitler and J. M. Rabey

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 37, issue 11, pages 1573-1578
Published in print December 2003 | ISSN: 1058-4838
Published online December 2003 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/379516
Electroencephalography Findings in Adult Patients with West Nile Virus—Associated Meningitis and Meningoencephalitis

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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.

Journal Article.  2276 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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