title: Posterior reversible encephalopathy syndrome resulting from Guillain-Barré-like syndrome secondary to West Nile virus infection.
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.
authors.affiliation: Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel. alonabmail@gmail.com
authors.forename: Alon
authors.initials: A
authors.lastname: Abraham
authors.forename: Sari
authors.initials: S
authors.lastname: Ziv
authors.forename: Vivian E
authors.initials: VE
authors.lastname: Drory
mesh_terms: D000368:Aged; D000914:Antibodies, Viral / Q000097:blood; D001927:Brain Diseases / Q000188:drug therapy / Q000503:physiopathology / Q000821:virology*; D005260:Female; D020275:Guillain-Barre Syndrome / Q000188:drug therapy / Q000503:physiopathology / Q000821:virology*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D013577:Syndrome; D014901:West Nile Fever / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology
chemical_list: D000914:Antibodies, Viral; D016756:Immunoglobulins, Intravenous