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Case Report
SPINE

West Nile Virus: A Case Report with Flaccid Paralysis and Cervical Spinal Cord

MR Imaging Findings

Greg Kraushaara, Rajesh Patela and Grant W. Stonehama

a Department of Medical Imaging, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Address correspondence to Greg Kraushaar, 85 103 Banyan Cr., Saskatoon, Saskatchewan, S7V 1G4, Canada

Summary: We present a case of serologically proved West Nile virus (WNV) flaccid paralysis of the right upper extremity. Radiologic correlation revealed striking T2 hyperintensities in the anterior horns of the cervical spinal cord, similar to those seen in cases of poliomyelitis. Recognition of the MR imaging findings in cases of WNV flaccid paralysis can provide early evidence of infection.