title: Opsoclonus-myoclonus syndrome attributable to West Nile encephalitis: a case report.
abstract: BACKGROUND
  Opsoclonus-myoclonus syndrome is a very rare neurological disorder associated with some viral infections and exceptionally with the West Nile virus.
  
  
  METHODS
  A 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.
  
  
  CONCLUSIONS
  Opsoclonus-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.
authors: Faculty of Medicine Sibiu, "Lucian Blaga" University Sibiu, Alba-Iulia Str, No,79 23/8, Sibiu 550052, Romania. victoriabirlutiu@yahoo.com.
authors: Victoria
authors: V
authors: Bîrluţiu
authors: Rareş Mircea
authors: RM
authors: Bîrluţiu
mesh_terms: D000914:Antibodies, Viral / Q000032:analysis; D005260:Female; D006801:Humans; D008875:Middle Aged; D053578:Opsoclonus-Myoclonus Syndrome / Q000209:etiology*; D014901:West Nile Fever / Q000150:complications*; D014902:West Nile virus / Q000276:immunology
chemical_list: D000914:Antibodies, Viral