With progression, worsening cerebral cortical and cranial nerve dysfunction may result in:
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*head pressing
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*propulsive walking
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*blindness
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*circling
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*head tilt
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*facial and appendicular muscle fasciculations
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*paralysis of pharynx, larynx and tongue
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*recumbency for 1-7 days followed by death
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VEE may have similar or different clinical presentations to WEE and EEE, which may relate to a persistently hightitre viraemia with VEE and differences in strain pathogenicity:
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*pyrexia peaks early and remains high throuhgout the disease course
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*mild fever and leukopenia associated experimentally with endemic strains
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*severe pyrexia and leukopenia associated with epidemic strains
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*diarrhoea, severe depression recumbency and death may precede neurological signs