Paper Information

Journal:   IRANIAN JOURNAL OF PEDIATRICS   2003 , Volume 13 , Number 2; Page(s) 147 To 152.
 
Paper: 

FACIAL PALSY IN KAWASAKI SYNDROME; REVIEW AND A CASE REPORT

 
 
Author(s):  MORADINEZHAD MOHAMMAD HASAN*, KIANI A.R.
 
* CHILDREN MEDICAL CENTER, DR GHARIB ST, TEHRAN, IR IRAN
 
Abstract: 

Facial nerve palsy, a very rare complication of Kawasaki syndrome, has been reported in only 25 patents. None of the 25 previous reported cases with this complication was treated with IVIG. We treated a 24-month-old boy with bilateral coronary artery aneurysms due to Kawasaki syndrome. In our patient, whom we treated with Aspirin and IVIG, duration of disease was 7-9 days. He developed marked unilateral peripheral facial nerve palsy on day 3 of illness. This treatment led to complete resolution of facial nerve palsy within 48 hours.
Review of pervious 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 without facial nerve palsy.
Unexplained facial nerve palsy in young children with a prolonged febrile illness should provoke consideration of Kawasaki syndrome and Echocardiography to exclude coronary artery aneurysms.
Although facial nerve palsy appears likely to be resolved in all patients surviving the acute phase of Kawasaki syndrome, treatment with IVIG appears to shorten considerably the time for full recovery and provides an important clue to the mechanism of neurological injury in this illness.

 
Keyword(s): KAWASAKI, VASCULITIS, IVIG, FACIAL PALSY, ANEURISM
 
References: 
  • ندارد
 
  Persian Abstract Yearly Visit 60
 
Latest on Blog
Enter SID Blog