Unilateral faciobrachial weakness: An unusual neuromuscular presentation Of West Nile Virus infection

El-Dokla, Ahmed; Hasan, Rashedul; Ali, Sara T.

doi:10.1002/mus.25996

Cited by 1 publication

(2 citation statements)

References 10 publications

(11 reference statements)

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“…A 2018 case report describes two patients with West Nile virus who presented only with facial palsy and arm weakness. 6 Sensory symptoms in these cases are often absent because of the anterior horn cell localization. When the presentation of motor neuron disease is more chronic, human immunodeficiency virus (HIV) and human T-cell lymphotropic virus type I (HTLV-I) should be considered because these can present similarly to amyotrophic lateral sclerosis, although these infections are not usually associated with concurrent encephalitis as in arbovirus infection.…”

Section: Infections Of the Anterior Horn Cellsmentioning

confidence: 99%

“…With all of these infections, the presentation tends to be acute, and the presence of meningoencephalitis in addition to flaccid weakness is typical but not always present. A 2018 case report describes two patients with West Nile virus who presented only with facial palsy and arm weakness 6 . Sensory symptoms in these cases are often absent because of the anterior horn cell localization.…”

Section: Infections Of the Anterior Horn Cellsmentioning

confidence: 99%

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Infections of the Peripheral Nervous System

LoRusso¹

2021

CONTINUUM: Lifelong Learning in Neurology

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PURPOSE OF REVIEWThis article describes infections that affect the peripheral nervous system, including their clinical features, differential diagnoses, and treatments.RECENT FINDINGSRates of pyomyositis have increased recently in the United States, possibly because of an increase in risk factors such as IV drug use, obesity, and diabetes. Other peripheral nervous system infections, such as diphtheria, have become more common in older patients secondary to a lack of revaccination or waning immunity. Although recommended treatment regimens for most infections remain unchanged over recent years, debate over the ideal dosing and route of administration continues for some infections such as tetanus and leprosy (Hansen disease).SUMMARYInfections of the peripheral nervous system are varied in terms of the type of infection, localization, and potential treatment. Nerve conduction studies and EMG can help determine localization, which is key to determining an initial differential diagnosis. It is important to recognize infections quickly to minimize diagnostic delays that could lead to patient morbidity and mortality.

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Section: Infections Of the Anterior Horn Cellsmentioning

confidence: 99%

Section: Infections Of the Anterior Horn Cellsmentioning

confidence: 99%