Spectrum of Movement Disorders in Patients With Neuroinvasive West Nile Virus Infection

Movement Disorders Clinical Practice
Abhishek LenkaShivam Om Mittal

Abstract

West Nile virus (WNV) is a flavivirus that is recognized as one of the common causes of arboviral neurological disease in the world. WNV infections usually manifest with constitutional symptoms such as fever, fatigue, myalgia, rash, arthralgia, and headache. Neuroinvasive WNV infections are characterized by signs and symptoms suggestive of meningitis, encephalitis, meningoencephalitis, and acute flaccid paralysis. In addition, many patients with neuroinvasive WNV infection develop a wide range of movement disorders. This article aims to comprehensively review the spectrum and natural course of the movement disorders observed in patients with neuroinvasive WNV infections. A literature search was performed in March 2019 (in PubMed and EMBASE) to identify articles for this review. Movement disorders observed in the context of WNV infections include tremor, opsoclonus-myoclonus, parkinsonism, myoclonus, ataxia, and chorea. Most often, these movement disorders resolve within a few weeks to months with an indolent course. The commonly observed tremor phenotypes include action tremor of the upper extremities (bilateral > unilateral). Tremor in patients with West Nile meningitis subsides earlier than that in patients with West Nile enc...Continue Reading

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Citations

May 7, 2020·Postgraduate Medical Journal·Eleni PapageorgiouEvangelia E Tsironi
Feb 23, 2021·Journal of Neurology·Jason L ChanJustyna R Sarna
Aug 19, 2021·Movement Disorders Clinical Practice·Annu AggarwalMohit Bhatt

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