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Dancing eyes syndrome from West Nile virus encephalitis
  1. Eleni Papageorgiou1,
  2. Foteini Xanthou1,
  3. Efthymios Dardiotis2,
  4. Evangelia E Tsironi1
  1. 1 Department of Ophthalmology, University Hospital of Larissa, Larissa, Greece
  2. 2 Department of Neurology, University Hospital of Larissa, Larissa, Greece
  1. Correspondence to Dr Eleni Papageorgiou, General University Hospital of Larisa, Larissa 41110, Greece; e_papage{at}

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A 71-year-old woman with a history of psoriatic arthritis on methotrexate presented with a 1 week history of dizziness, imbalance and blurry vision, followed by diarrhoea and fever. Neurological examination revealed bilateral upper limb tremor and dysmetria, occasional multifocal myoclonus, inability to rise or stand and altered mental status. She also showed jerks of rapid, involuntary, multivectorial eye movements (online supplementary video), consistent with opsoclonus-myoclonus …

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  • Contributors EP contributed to writing of manuscript, discussion and patient care. FX, ED and EET contributed to discussion and patient care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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