Abducens nerve palsy in a girl with incomplete Kawasaki disease

Rheumatol Int. 2016 Aug;36(8):1181-3. doi: 10.1007/s00296-016-3515-2. Epub 2016 Jun 21.

Abstract

Kawasaki disease (KD) is a systemic vasculitis that can involve the nervous system, including the cranial nerves. Central nervous system findings, especially irritability, lethargy, and aseptic meningitis, occur in 1-30 % of KD patients (1). Cranial nerve palsies are seen rarely, and abducens nerve palsy has been reported in only three children. We describe a 2.5-year-old girl with incomplete KD who developed transient abducens nerve palsy after intravenous immunoglobulin (IVIG) treatment.

Keywords: Abducens nerve; Central nervous system involvement; Kawasaki disease; Severity criteria.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Abducens Nerve Diseases / chemically induced*
  • Child, Preschool
  • Female
  • Humans
  • Immunoglobulins, Intravenous / adverse effects*
  • Immunoglobulins, Intravenous / therapeutic use
  • Mucocutaneous Lymph Node Syndrome / drug therapy*

Substances

  • Immunoglobulins, Intravenous