title: Kinetic tremor and cerebellar ataxia as initial manifestations of Kikuchi-Fujimoto's disease.
abstract: Involvement of central nervous system occasionally occurs as a form of aseptic meningitis in Kikuchi-Fujimoto disease (KFD). However, acute cerebellar symptoms are very rare in KFD. We describe a 42 year-old woman presenting kinetic tremor and gait ataxia preceding cervical lymphadenopathy. The diagnosis of KFD was made based on pathology. Lymphocyte-dominant pleocytosis was observed in cerebrospinal fluid. Brain and spinal magnetic resonance imaging showed no structural abnormalities. Acute cerebellar symptoms and cervical lymphadenopathy disappeared spontaneously within 2 months. This case of KFD involved unusual acute cerebellar symptoms. Selective involvement of the cerebellar system by viral or immunologic response may be attributed to acute cerebellar symptoms in KFD.
authors.affiliation: Department of Neurology, Pochon CHA University college of medicine, South Korea.
authors.forename: Ju-Sun
authors.initials: JS
authors.lastname: Moon
authors.forename: Gwang
authors.initials: G
authors.lastname: Il Kim
authors.forename: Young-Ho
authors.initials: YH
authors.lastname: Koo
authors.forename: Hyun-Sook
authors.initials: HS
authors.lastname: Kim
authors.forename: Won-Chan
authors.initials: WC
authors.lastname: Kim
authors.forename: Ok-Joon
authors.initials: OJ
authors.lastname: Kim
authors.forename: Seung-Hun
authors.initials: SH
authors.lastname: Oh
mesh_terms: D000328:Adult; D001706:Biopsy; D002524:Cerebellar Ataxia / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D020042:Histiocytic Necrotizing Lymphadenitis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D009483:Neuropsychological Tests; D014057:Tomography, X-Ray Computed; D014202:Tremor / Q000175:diagnosis* / Q000209:etiology