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West Nile virus (WNV) is widely distributed around the world. The WNV is maintained in nature by a cycle involving mosquitoes and birds, which are presumed to be the most important amplifying hosts. We present the case of a 75 years old male patient admitted to the neurology department for several symptoms that could be attributed to a stroke. The symptomatology had an acute onset. The computed tomography and the magnetic resonance imaging revealed lacunar stroke in right semioval center. Thedoi:10.37897/rjn.2019.4.10 fatcat:zw3unfafrjavjoczxfl5lbnwva