Cauda equina arachnoiditis–a rare manifestation of West Nile virus neuroinvasive disease:A case report

作     者：Marija Santini Ivana Zupetic Klaudija Viskovic Juraj Krznaric Marko Kutlesa Vladimir Krajinovic Vlatka Lovrakovic Polak Vladimir Savic Irena Tabain Ljubo Barbic Maja Bogdanic Vladimir Stevanovic Anna Mrzljak Tatjana Vilibic-Cavlek 

作者机构：Department for Intensive Care Medicine and NeuroinfectologyUniversity Hospital for Infectious Diseases“Dr Fran Mihaljevic”Zagreb 10000Croatia Department of RadiologyUniversity Clinical Hospital CenterClinic for TraumatologyZagreb 10000Croatia Department of Radiology and UltrasoundUniversity Hospital for Infectious Diseases“Dr Fran Mihaljevic”Zagreb 10000Croatia Department of Infectious DiseasesGeneral County Hospital KarlovacKarlovac 47000Croatia Department of Poultry CenterLaboratory for Virology and SerologyCroatian Veterinary InstituteZagreb 10000Croatia Department of VirologyCroatian Institute of Public HealthZagreb 10000Croatia Department of Microbiology and Infectious Diseases with ClinicFaculty of Veterinary MedicineUniversity of ZagrebZagreb 10000Croatia Department of MedicineUniversity Hospital MerkurZagreb 10000Croatia School of MedicineUniversity of ZagrebZagreb 10000Croatia 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第17期

页      面：3797-3803页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基　　金：Croatian Science Foundation,Project No. IP 2016-06-7456 CRONEUROARBO European Union’s Horizon 2020 Research and Innovation Programme,No. 653316 

主　　题：West Nile virus Central nervous system infection Cauda equina Magnetic resonance Neuroinvasive disease Case report 

摘      要：BACKGROUND Data regarding the neuroradiology features of the West Nile virus neuroinvasive disease(WNV NID)is rather *** contribute to the knowledge of the WNV NID,we present a patient with a combination of encephalitis and acute flaccid paresis,with cauda equina arachnoiditis as the main magnetic resonance(MR)*** SUMMARY A 72-year-old female patient was admitted due to fever,headache and gait *** the first several days she developed somnolence,aphasia,urinary incontinence,constipation,and asymmetric lower extremities *** fluid analysis indicated *** brain computed tomography and MR were unremarkable,while spinal MR demonstrated cauda equina enhancement without cord *** testing revealed WNV IgM and IgG antibodies in serum and cerebrospinal fluid,which confirmed acute WNV *** treatment was *** two months only a slight improvement was noticed but cognitive impairment,loss of sphincter control and asymmetric inferior extremities weakness *** patient died after a month on chronic *** Cauda equina arachnoiditis is a rare,but possible neuroradiological feature in acute flaccid paresis form of WNV NID.