Bilateral abducens palsy in West Nile Meningoencephalitis

West Nile virus (WNV) is a neurotropic virus, transmitted to humans via an infected mosquito.1 Twenty percent of infected indivuals develop systemic symptoms such as fever, rash and adenopathy. Approximately 0.67% of patients develop associated meningoencephalitis with altered mental status and various sensory and motor deficits, which may be life threatening. Some patients may present with diplopia, as it has have been previously reported, two specifically due to abducens palsy. We present the case of a man presenting with binocular horizontal diplopia due to bilateral abducens palsy.