A Case of Aseptic Meningitis and Unilateral Vestibulopathy Associated with Histiocytic Necrotizing Lymphadenitis(Kikuchi's disease)

조직구괴사림프절염(Kikuchi병)과 동반된 무균뇌수막염과 한쪽 전정신경병증

  • Kim, Kyung Jib (Department of Neurology, School of Medicine, Catholic University of Daegu) ;
  • Do, Jin Kuk (Department of Neurology, School of Medicine, Catholic University of Daegu) ;
  • Lee, Dong Kuck (Department of Neurology, School of Medicine, Catholic University of Daegu)
  • 김경집 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 도진국 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 이동국 (대구가톨릭대학교 의과대학 신경과학교실)
  • Published : 2007.12.30

Abstract

A 34-year-old man presented with a severe headache, fever, and cervical lymphadenopathy followed by generalized tonic-clonic seizure. Evaluations showed splenomegaly, elevated liver enzymes, and 380 white blood $cells/mm^3$ in the cerebrospinal fluid. Two weeks after admission, he developed sudden vertigo. Examination revealed spontaneous horizontal-torsional nystagmus to the right and bithermal caloric tests documented left canal paresis. A cervical lymph node biopsy disclosed subacute necrotizing lymphadenitis. We report a case of aseptic meningitis and unilateral vestibulopathy associated with histiocytic necrotizing lymphadenitis (Kikuchi's disease).

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