Posterior reversible encephalopathy syndrome resulting from Guillain-Barré-like syndrome secondary to West Nile virus infection

Alon Abraham, Sari Ziv, Vivian E. Drory

Research output: Contribution to journalReview articlepeer-review

Abstract

A 67-year-old woman developed hypertension, drowsiness, hemianopia, ascending flaccid tetraparesis, and areflexia. Nerve conduction studies revealed a demyelinating polyneuropathy. Brain magnetic resonance imaging demonstrated hyperintense white matter lesions. IgM antibodies against West Nile virus were positive. She was treated for hypertension and with intravenous immunoglobulins and recovered completely within 2 months. To our knowledge, this is the first case in which West Nile virus infection presented as posterior reversible encephalopathy syndrome associated with Guillain-Barré-like syndrome.

Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalJournal of Clinical Neuromuscular Disease
Volume12
Issue number3
DOIs
StatePublished - Mar 2011

Keywords

  • Guillain-Barré-like syndrome
  • West Nile virus
  • hypertension
  • polyneuropathy
  • posterior reversible encephalopathy syndrome

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