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

Gandelman-Marton, R.; Kimiagar, I.; Itzhaki, A.; Klein, C.; Theitler, J.; Rabey, J. M.
December 2003
Clinical Infectious Diseases;12/1/2003, Vol. 37 Issue 11, p1573
Academic Journal
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.


Related Articles

  • Accuracy of Bedside Examination for Meningitis. Zepf, Bill // American Family Physician;11/15/2002, Vol. 66 Issue 10, p1952 

    Examines the accuracy of bedside examination for meningitis. Symptoms presented by the adult patients who participated in the study.

  • The Diagnostic Accuracy of Kernig's Sign, Brudzinski's Sign, and Nuchal Rigidity in Adults with Suspected Meningitis. Thomas, Karen E.; Hasbun, Rodrigo; Jekel, James; Quagliarello, Vincent J. // Clinical Infectious Diseases;7/1/2002, Vol. 35 Issue 1, p46 

    To determine the diagnostic accuracy of Kernig's sign, Brudzinski's sign, and nuchal rigidity for meningitis, 297 adults with suspected meningitis were prospectively evaluated for the presence of these meningeal signs before lumbar puncture was done. Kernig's sign (sensitivity, 5%; likelihood...

  • Aseptic meningitis as the sole manifestation of Behçet’s disease. Sakakibara, Ryuji; Koide, Nobukiyo; Kishi, Masahiko; Ogawa, Emina; Shirai, Kohji // Neurological Sciences;Oct2009, Vol. 30 Issue 5, p405 

    We report a 33-year-old woman who had aseptic meningitis alone, without any other systemic manifestations, due to Behçet’s disease. Behçet’s disease should be listed as a differential diagnosis of acute aseptic meningitis because, in acute aseptic meningitis caused by...

  • Does This Adult Patient Have Acute Meningitis? Attia, John; Hatala, Rose; Cook, Deborah J.; Wong, Jeffrey G. // JAMA: Journal of the American Medical Association;7/14/99, Vol. 282 Issue 2, p175 

    Reviews the accuracy and precision of the clinical examination in the diagnosis of adult meningitis. Objective; Data sources; Study selection; Data extraction; Data synthesis; Conclusions.

  • Cryptococcal Meningoencephalitis in Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome in Douala, Cameroon: A Cross Sectional Study. NAMME LUMA, HENRY; TEMFACK, ELVIS; PATRICE HALLE, MARIE; CLET NGUENKAM TCHALEU, BENJAMIN; NJANKOUO MAPOURE, YACOUBA; KOULLA-SHIRO, SINATA // North American Journal of Medical Sciences;Aug2013, Vol. 5 Issue 8, p486 

    Background: Cryptococcal meningoencephalitis (CM) kills about half a million human immunodeficiency virus (HIV) patients per year, mostly in Africa. Aim: The aim of this study was to determine the prevalence, clinical presentation and in-hospital outcome of CM among HIV-infected patients in...

  • A Balancing Act. Saha, Somnath; Saint, Sanjay; Tierney, Lawrence M. // New England Journal of Medicine;02/04/99, Vol. 340 Issue 5, p374 

    Presents the case of a 50-year-old man with alcoholism brought to the emergency ward because of altered mental status, which included confusion. Preliminary diagnosis of hepatic encephalopathy and alcohol intoxication; Results of laboratory tests; Preparation for a computed tomographic scan of...

  • Computed Tomography of the Head before a Lumbar Puncture in Suspected Meningitis – Is It Helpful? Steigbigel, Neal H. // New England Journal of Medicine;12/13/2001, Vol. 345 Issue 24, p1768 

    The article explores the problem facing clinicians in deciding whether or not to perform lumbar puncture in a patient suspected of having meningitis. The diagnostic procedure lumbar puncture is utilized by clinicians to identify the cause of the meningitis or the pathogen that is responsible for...

  • Clinical Features of Meningitis in Children. Jenson, Hal B. // Infectious Disease Alert;Dec2010, Vol. 30 Issue 3, p28 

    The article discusses research being done on the signs and symptoms of meningitis in children. It references a study by S. Curtis and colleagues in a 2010 issue of the journal "Pediatrics." For the study, researchers examined children with seizure and fever, and children showing clinical signs...

  • Seegene introduces ACE diagnostic for meningitis.  // Medical Device Daily;4/21/2009, Vol. 13 Issue 75, p9 

    The article reports on the launch of Seegene's Seeplex Meningitis ACE Detection test at the 2009 Clinical Virology Symposium. The test is designed for detecting 12 meningitis-causing pathogens, including five bacteria and seven viruses from cerebrospinal fluid. The company claims that the test...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics