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Acute encephalopathy with biphasic seizures and late reduced diffusion in Kawasaki disease
Author(s) -
Shiba Takeshi,
Hamahata Keigo,
Yoshida Akira
Publication year - 2017
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13431
Subject(s) - medicine , status epilepticus , epilepsy , encephalopathy , white matter , hyperintensity , anesthesia , magnetic resonance imaging , pediatrics , radiology , psychiatry
Herein we describe the case of a 7‐month‐old girl with Kawasaki disease (KD) in whom status epilepticus with fever developed on day 3 and cluster of seizures on day 6 of illness, followed by severe disturbance of consciousness afterward. Diffusion‐weighted magnetic resonance imaging on day 6 of illness showed diffuse high signals in the bilateral subcortical white matter, while electroencephalogram indicated low‐voltage slow waves. This indicated acute encephalopathy with biphasic seizures and late reduced diffusion (AESD); severe neurological sequelae remained. This is the first report of AESD as a complication of KD.