West Nile Virus (WNV) encephalitis CSF findings are usually described as polymorphonuclear pleocytosis initially followed by lymphocytic pleocytosis. We report a 68-year-old female with WNV encephalitis monocytic pleocytosis and flaccid quadriparesis with ventral roots enhancement. We suggest the inclusion of neuroinvasive WNV in the differential of encephalopathy with flaccid paralysis despite a monocytic pleocytosis. We also suggest the consideration of neuroinvasive in acute polyneuropathies unresponsive to immunotherapies.


中文翻译：

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西尼罗河病毒性脑炎单核细胞增多症一例并文献复习


西尼罗河病毒（WNV）脑炎CSF的发现通常被描述为多形核细胞性细胞增多，最初是淋巴细胞性细胞增多。我们报道了一名68岁的女性，患有WNV脑炎单核细胞性巨噬细胞增多症和松弛性四肢瘫痪，腹侧根部增强。我们建议在单核细胞性单核细胞增多症的情况下，在伴有弛缓性麻痹的脑病鉴别中纳入神经侵袭性WNV。我们还建议在对免疫疗法无反应的急性多发性神经病中考虑神经侵袭。