PMID: 9436804Jan 22, 1998Paper

Facial palsy in Kawasaki syndrome

Pediatric Neurology
K BusharaR S Rust

Abstract

Facial nerve palsy, a very rare complication of Kawasaki syndrome, has been reported in only 25 patients. We treated a 12-week-old boy with bilateral coronary artery aneurysms due to Kawasaki syndrome who developed marked unilateral peripheral facial nerve palsy on day 36 of illness. None of the 25 previously reported patients with this complication were treated with immunoglobulin; they required 7 to 90 days to recover. In our patient, treatment with this agent was associated with complete resolution of facial nerve palsy within 36 hours. Review of prior cases demonstrates that children with Kawasaki-associated facial nerve palsy have more than twice the risk for coronary artery aneurysm (52% vs <25%) as that of children who do not develop this neurological complication. Unexplained facial nerve paralysis in young children with a prolonged febrile illness should provoke consideration of Kawasaki syndrome and of echocardiography to exclude coronary artery aneurysms. Although facial palsy appears likely to resolve in all patients that survive the acute phase of Kawasaki syndrome, treatment with intravenous immunoglobulin appears to considerably shorten the time to full recovery and provides an important clue to the mechanisms of...Continue Reading

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Citations

Oct 14, 2009·Rheumatology International·Rajoo ThapaSubroto Chakrabartty
Nov 12, 2009·Rheumatology International·Satvinder KaurPrem Narayan Dubey
Apr 18, 2000·International Journal of Pediatric Otorhinolaryngology·A YoskovitchB Moroz
Dec 11, 1999·Pediatric Neurology·E UnüvarA Kiliç
Aug 2, 2002·The Pediatric Infectious Disease Journal·Maarten H BiezeveldTaco W Kuijpers
Dec 4, 2003·Pediatric Dermatology·Margarita LarraldeRicardo Rutiman
May 27, 2005·BMC Pediatrics·Daniel Carlton-ConwayRobert Tulloh
Feb 21, 2013·Indian Journal of Pediatrics·Abdullah KocabaşHalil Ertuğ
Jul 5, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M-C DelafayJ-L Stéphan
Apr 19, 2017·Journal of Audiology & Otology·Kyu Yeun KimYoung Joon Seo
Nov 26, 1999·The Pediatric Infectious Disease Journal·B J Wurzburger, J R Avner
Sep 23, 2010·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Cristina M R MagalhãesRiccardo Pratesi

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