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Case Report
BRAIN

West Nile Virus: Case Report with MR Imaging Findings

Humberto Rosasa,b and Franz J. Wippold, IIa,b,c

a Mallinckrodt Institute of Radiology at Washington University Medical Center, St. Louis, MO
b Department of Radiology, Barnes-Jewish Hospital, St. Louis, MO
c Department of Radiology/Nuclear Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD

Address reprint requests to F.J. Wippold, II, MD, FACR, Neuroradiology Section, Mallinckrodt Institute of Radiology, Washington University Medical Center, 510 South Kingshighway Boulevard, St. Louis, MO 63110

Summary: We report a case of serologically proved West Nile virus encephalitis. Striking bilateral hyperintensities were noted in the basal ganglia and thalami on T2-weighted and fluid-attenuated inversion recovery MR images, similar to previous accounts of the imaging findings in cases of Japanese encephalitis. Recognition of the MR imaging appearance of this entity is important because of the expanding epidemic.




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