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

Santini, Marija; Župetić, Ivana; Višković, Klaudija; Krznarić, Juraj; Kutleša, Marko; Krajinović, Vladimir; Polak Lovraković, Vlatka; Savić, Vladimir; Tabain, Irena; Barbić, Ljubo; Bogdanić, Maja; Stevanović, Vladimir; Mrzljak, Anna; Vilibić Čavlek, Tatjana

doi:10.12998/wjcc.v8.i17.3797

Pregled bibliografske jedinice broj: 1121871

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

Santini, Marija; Župetić, Ivana; Višković, Klaudija; Krznarić, Juraj; Kutleša, Marko; Krajinović, Vladimir; Polak Lovraković, Vlatka; Savić, Vladimir; Tabain, Irena; Barbić, Ljubo et al.

Cauda equina arachnoiditis – a rare manifestation of West Nile virus neuroinvasive disease: A case report // World journal of clinical cases, 8 (2020), 17; 3797-3803 doi:10.12998/wjcc.v8.i17.3797 (međunarodna recenzija, članak, znanstveni)

CROSBI ID: 1121871 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

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

Autori
Santini, Marija ; Župetić, Ivana ; Višković, Klaudija ; Krznarić, Juraj ; Kutleša, Marko ; Krajinović, Vladimir ; Polak Lovraković, Vlatka ; Savić, Vladimir ; Tabain, Irena ; Barbić, Ljubo ; Bogdanić, Maja ; Stevanović, Vladimir ; Mrzljak, Anna ; Vilibić Čavlek, Tatjana

Izvornik
World journal of clinical cases (2307-8960) 8 (2020), 17; 3797-3803

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Case report ; Cauda equina ; Central nervous system infection ; Magnetic resonance ; Neuroinvasive disease ; West Nile virus

Sažetak
Background: Data regarding the neuroradiology features of the West Nile virus neuroinvasive disease (WNV NID) is rather scarce. To 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) finding. Case summary: A 72- year-old female patient was admitted due to fever, headache and gait instability. During the first several days she developed somnolence, aphasia, urinary incontinence, constipation, and asymmetric lower extremities weakness. Cerebrospinal fluid analysis indicated encephalitis. Native brain computed tomography and MR were unremarkable, while spinal MR demonstrated cauda equina enhancement without cord lesions. Virology testing revealed WNV IgM and IgG antibodies in serum and cerebrospinal fluid, which confirmed acute WNV NID. The treatment was supportive. After two months only a slight improvement was noticed but cognitive impairment, loss of sphincter control and asymmetric inferior extremities weakness remained. The patient died after a month on chronic rehabilitation. Conclusion: Cauda equina arachnoiditis is a rare, but possible neuroradiological feature in acute flaccid paresis form of WNV NID.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA

Projekti:
HRZZ-IP-2016-06-7456 - Prevalencija i molekularna epidemiologija emergentnih i re-emergentnih neuroinvazivnih arbovirusnih infekcija na području Hrvatske (CRONEUROARBO) (Vilibić Čavlek, Tatjana, HRZZ - 2016-06) ( CroRIS)

Ustanove:
Hrvatski zavod za javno zdravstvo,
Klinička bolnica "Merkur",
Hrvatski veterinarski institut, Zagreb,
Veterinarski fakultet, Zagreb,
Medicinski fakultet, Zagreb,
Klinika za infektivne bolesti "Dr Fran Mihaljević"

Profili:

Vladimir Krajinović (autor)