[Neurological involvements with transient gait disturbance in subacute phase of Kawasaki disease; a case report].
A 1-year-and-9-months old boy with gait disturbance during the 3rd week of Kawasaki disease (KD) was described. He had been previously healthy, and developed high fever and rash. The diagnosis of KD was based on 5 of 6 major criteria on the 3rd clinical day. He was initially treated with intravenous gamma-globulin 400 mg/kg/day for five days. On the 17th clinical day, the patient developed gait disturbance after most clinical signs disappeared. His gait was wide- based and unstable. Generalized hypotonia with poor traction response was also seen. Pyramidal tract signs including exaggerated patellar and Achilles tendon reflexes and positive bilateral Mendel-Bechterew reflex were presented. Cerebrospinal fluid was normal. Brain CT, MRI, and 123I-IMP SPECT images were normal without broad hemorrhage or infarction of the cerebral parenchyma. Gait disturbance recovered spontaneously within one month without any sequelae.
Hoshino
K
K
First Department of Pediatrics, Toho University School of Medicine, Tokyo.
Morooka
K
K
Imai
H
H
Takagi
K
K
Arimoto
K
K
Saji
T
T
D002493:Central Nervous System Diseases / Q000150:complications* / Q000503:physiopathology; D005684:Gait; D006801:Humans; D007223:Infant; D008297:Male; D009069:Movement Disorders / Q000209:etiology*; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000503:physiopathology; D011712:Pyramidal Tracts / Q000503:physiopathology