# Neurological Presentations of Endemic Tropical Diseases in Central Europe

## TL;DR

Climate change is causing tropical diseases like West Nile fever to appear in Central Europe, requiring neurologists to be more aware of their neurological symptoms.

## Contribution

The paper emphasizes the growing local threat of tropical diseases and their neurological effects in Central Europe due to climate change.

## Key findings

- Mosquito vectors are spreading in Central Europe, increasing the risk of tropical diseases.
- Neurological complications from West Nile fever, dengue, and chikungunya are being observed without travel history.
- Neurologists need to recognize these diseases' atypical presentations for timely diagnosis.

## Abstract

Climate change increases the risk of tropical diseases—previously rare in Central Europe—emerging as local or zoonotic infections, not just imported cases. Diagnosing such illnesses without a travel history is challenging, especially given their atypical presentations and potential for neurological complications. We highlight the recent spread of mosquito vectors and focus on West Nile fever, dengue, and chikungunya, discussing their typical symptoms and possible nervous system involvement, emphasizing the need for heightened awareness among neurologists in our region.