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A 51-year-old woman was admitted to the emergency department with fever and acute behavioral changes. She had a history of benign ovarian cyst 10 years earlier. Three days before admission, she became agitated and confused but did not have any focal neurologic symptoms. Her CSF was reactive with 43 white blood cells/mm3 (predominantly lymphocytes), protein of 43 mg/dL, and normal glucose.
Footnotes
Author contributions: Vadim Afanasiev: manuscript concept, acquisition of data, critical revision of manuscript for intellectual content, edited the manuscript for nonintellectual content. Marie-Laure Brechemier: interpretation and acquisition of data. William Boisseau: acquisition of data. Romain Ducoudray: acquisition of data. Marie-Eve Mayeur: acquisition of data. David Meyronet: acquisition of data. Anne Peskine: critical revision of the manuscript for intellectual content. Virginie Desestret: critical revision of the manuscript for intellectual content, edited the manuscript for nonintellectual content. Dimitri Psimaras: critical revision of the manuscript for intellectual content.
Study funding: No targeted funding reported.
Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
- Received December 12, 2015.
- Accepted in final form March 22, 2016.
- © 2016 American Academy of Neurology
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