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Kikuchi-Fujimoto disease presenting as brainstem encephalitis with secondary blepharospasm.


ABSTRACT: Central nervous system involvement in Kikuchi-Fujimoto disease is a very rare clinical manifestation. We report a 15-year-old girl who presented to us with fever, drowsiness, neck swellings, and involuntary closure of both eyelids of 2 days duration. Magnetic resonance imaging brain showed T2-weighted and fluid-attenuated inversion recovery hyperintensities in dorsal midbrain and pons. Cervical lymph node fine-needle aspiration cytology was suggestive of Kikuchi-Fujimoto disease. Blepharospasm secondary to infectious etiology is rare. Positron emission computed tomography brain showed increased focal uptake in anterior cingulate gyrus which can be the site of origin of blepharospasm. The patient was managed with steroids and trihexyphenidyl with significant recovery. Kikuchi-Fujimoto disease is a rare disease which has to be considered as one of the differential diagnosis in a case of acute encephalopathy with cervical lymphadenopathy.

SUBMITTER: Jasti DB 

PROVIDER: S-EPMC4750320 | biostudies-literature | 2016 Jan-Mar

REPOSITORIES: biostudies-literature

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Kikuchi-Fujimoto disease presenting as brainstem encephalitis with secondary blepharospasm.

Jasti Dushyanth Babu DB   Naveen Prasad S V SV   Naveen Thota T   Vengamma Bhuma B  

Journal of neurosciences in rural practice 20160101 1


Central nervous system involvement in Kikuchi-Fujimoto disease is a very rare clinical manifestation. We report a 15-year-old girl who presented to us with fever, drowsiness, neck swellings, and involuntary closure of both eyelids of 2 days duration. Magnetic resonance imaging brain showed T2-weighted and fluid-attenuated inversion recovery hyperintensities in dorsal midbrain and pons. Cervical lymph node fine-needle aspiration cytology was suggestive of Kikuchi-Fujimoto disease. Blepharospasm s  ...[more]

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