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West nile virus encephalitis involving the substantia nigra: neuroimaging and pathologic findings with literature review Bosanko CM; Gilroy J; Wang AM; Sanders W; Dulai M; Wilson J; Blum KArch Neurol 2003[Oct]; 60 (10): 1448-52West Nile virus has become a medically important arbovirus in the continental United States with its debut in 1999 in the New York City area. We present neuroimaging features and pathologic findings in 2 patients who were severely affected out of the more that 100 documented cases at our institution. Both patients showed striking involvement of the substantia nigra, a finding not previously reported for West Nile virus.|Aged[MESH]|Brain Edema/etiology/pathology[MESH]|Brain/pathology[MESH]|Coma/etiology[MESH]|Fatal Outcome[MESH]|Female[MESH]|Humans[MESH]|Hydrocephalus/etiology/pathology[MESH]|Magnetic Resonance Imaging[MESH]|Male[MESH]|Status Epilepticus/etiology[MESH]|Substantia Nigra/*pathology[MESH]|West Nile Fever/complications/*pathology/psychology[MESH] |
