A 9 year old boy who is attending a summer camp in Mississippi is brought to the mergency department because of a headache, vomiting and confusion. The counselors who brought the boy in recall a few dead birds around hsi cabin. He has a temperature of 38.9 and appears disorientedto time and place. Physical exam shows gait ataxia when walkig athe patient complaisn fo double vision. Over the next several hours, the patients confusion progresses to stupor. Exam of CSF obtained by lumbar puncture shows 300 lymphocytes glucose of 50 and total protein of 80. Serum glucose is 78. MRI analysis reveals no abnormalities. 1. What is the disease he most likely has? 2. How is it transmitted? 3. What makes it seem like this is the transmission route?

Neurology is the branch of medicine that focuses on the study, diagnosis, and management of conditions affecting the nervous system.