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Case Reports in Neurological Medicine
Volume 2016 (2016), Article ID 4389691, 3 pages
Case Report

A Case of West Nile Encephalitis That Develops into a Disease of Deep White Matter on MRI over a Two-Week Span

White Memorial Medical Center, 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033, USA

Received 22 June 2016; Revised 8 August 2016; Accepted 16 August 2016

Academic Editor: Mehmet Turgut

Copyright © 2016 Adam Puchalski and Antonio Liu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We present a case of serologically proved West Nile encephalitis. This patient had a normal MRI on admission. Given that the patient’s clinical picture had worsened during her admission, a repeat MRI was performed, which demonstrated diffuse disease in the deep white matter of the brain. This is a case of West Nice encephalitis presenting as a disease of deep white matter that developed over a two-week span.