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Table 5 Neurological symptoms, status and assessment scales at presentation, 1st and 2nd follow-up

From: Identifying risks for severity of neurological symptoms in Hungarian West Nile virus patients

Neurological status, n (%)
   At hospital admission
(n = 66)
1st Follow-up (60–90 days after discharge)
(n = 43)
2nd Follow-up (150–180 days after discharge)
(n = 12)
GCS 13–15 62 (93.9)
9–12 3 (4.5)
8 or less 1 (1.5)
Meningitis yes 8 (12.1) 0 (0) 0 (0)
no 57 (86.4) 43 (100) 12 (100)
data unavailable 1 (1.5) 0 (0) 0 (0)
Encephalitis yes 1 (1.5) 0 (0) 0 (0)
no 64 (97.1) 43 (100) 12 (100)
data unavailable 1 (1.5) 0 (0) 0 (0)
Meningoencephalitis yes 38 (40.9) 0 (0) 0 (0)
no 27 (57.6) 43 (100) 12 (100)
data unavailable 1 (1.5) 0 (0) 0 (0)
Acute flaccid paresis yes 9 (13.6) 4 (9.3) 0 (0)
no 57 (86.4) 39 (90.7) 12 (100)
Localisation of muscle weakness none 46 (69.7) 36 (83.7) 11 (91.7)
lower body 6 (9.1) 3 (7.0) 1 (8.3)
upper body 3 (4.5) 1 (2.3) 0 (0)
lower body + upper body 10 (15.2) 3 (7.0) 0 (0)
unconscious 1 (1.5)
Degree of muscle weakness 0 (normal) 46 (69.7) 36 (83.7) 11 (91.7)
1 11 (16.7) 2 (4.7) 0 (0)
2 3 (4.5) 2 (4.7) 1 (8.3)
3.25 4 (6.1) 2 (4.7) 0 (0)
4 1 (1.5) 1 (2.3) 0 (0)
unconscious 1 (1.5)
Reflex involvement
(decreased or absent)
no 59 (89.4) 38 (88.4) 11 (91.7)
yes 5 (7.6) 5 (11.6) 1 (8.3)
unconscious 1 (1.5)
data unavailable 1 (1.5)
Sensory involvement
(decreased or absent)
no 61 (92.4) 41 (95.3) 11 (91.7)
yes 3 (4.5) 2 (4.7) 1 (8.3)
unconscious 1 (1.5)
data unavailable 1 (1.5)
Other Neurological symptoms At hospital admission
(n = 66)
1st Follow-up
(n = 43)
2nd Follow-up
(n = 12)
Headache 46 (69.7) 5 (11.6)
Dizziness 30 (45.5) 7 (16.2)
Confusion, altered mind status 18 (27.3)
Tremor 7 (10.6)
Diplopia 4 (6.1)
Gait uncertainty 3 (4.5) 2 (4.65)
Speech disturbance 4 (6.0)
Photophobia 3 (4.5)
Assessment tools, n (%) At hospital admission 1st follow-up 2nd follow-up
WNV-N Index moderately severe 44 (66.7) 37 (86.0) 11 (91.7)
severe 22 (33.3) 6 (14.0) 1 (8.3)
Modified Rankin Scale moderately severe 48 (72.7) 37 (86.0) 12 (100)
severe 18 (27.3) 6 (14.0) 0 (0)