Kawasaki disease with predominant central nervous system involvement

A 4-year-old female was hospitalized with clinical and electroencephalograp hic evidence of acute encephalopathy. Five days later the classic signs of Kawasaki disease appeared. The neurologic outcome in this female was poor d espite early treatment with immunoglobulin. Like many other vasculitidies, Kawasaki disease can have predominant neurologic symptoms as the initial pr esentation and during the subsequent evolution of the condition. (C) 2001 b y Elsevier Science Inc. All rights reserved.