Abstract

Objective: West Nile Virus (WNV) may evolve into West Nile Encephalitis (WNE) in older individuals. Most of these WNE seniors do not survive. The long-term outcome profiles of those who do survive WNE have not been well studied. This poster will serve as a follow-up to a 2014 INS poster presentation poster of a 74 year-old Caucasian male who was recovering from WNE. Medicare reimburses time-limited rehabilitation services, and many of this individual's lower-level functions were rehabilitated via several months of inpatient and outpatient rehabilitation. Higher-level functions, however, required continued neurocognitive rehabilitation, which was not covered. Method: Data from this individual's neuropsychological evaluation during rehabilitation will be presented, along with post-rehabilitation goals. The following parameters were assessed: attention, executive functions, initiation, insight, learning, memory, and affect. Neurocognitive rehabilitation data will also be presented. Results: This individual made significant gains while in an outpatient rehabilitation program that included speech therapy, physical therapy, occupational therapy, and pharmacological management (i.e., Nuvigil and Nuedexta, prescribed by a Medical Psychologist). Affect improved because of Nuedexta. Despite these gains, however, the individual continued to display difficulties in social and interpersonal relationships. Conclusion(s): Outpatient rehabilitation services can make a remarkable difference in the lives of individuals recovering from WNE. Future research endeavors should examine the efficacy of higher-level rehabilitation programs for WNE survivors. In this regard, improving interpersonal skills, which require higher-level neurocognitive factors, is seen as a vital component of their treatment.