A 67‑year‑old man presents to the emergency department in la…
A 67‑year‑old man presents to the emergency department in late summer with fever, severe headache, confusion, and neck stiffness. Family members report he has recently developed weakness in his upper extremities and has trouble lifting his arms. He lives in an area with increased mosquito activity and reports multiple mosquito bites over the past two weeks. MRI of the brain shows inflammatory changes. Which of the following clinical features are most commonly associated with neuroinvasive West Nile virus infection? (Select all that apply)