Cerebral hemiatrophy in systemic lupus erythematosus: report of a case.
An 18-year-old woman with systemic lupus erythematosus developed neuropsychiatric disorders, including aseptic meningoencephalitis, organic brain syndrome and seizure. A series of computed axial tomography scans revealed the progression of marked atrophy of the right cerebral hemisphere for a period of 3 years without occlusion or stenosis of large vessels on cerebral angiography. I-123 IMP single photon emission computed tomography disclosed a markedly decreased uptake of I-123 IMP in the right cerebral hemisphere, and also in the left cerebellar hemisphere (crossed cerebellar diaschisis), which disappeared within 2 years.
Hirohata
S
S
Department of Medicine and Physical Therapy, University of Tokyo School of Medicine, Japan.
Moroi
Y
Y
Yoshinoya
S
S
Ishizaka
N
N
Miyamoto
T
T
Momose
T
T
D000293:Adolescent; D001284:Atrophy / Q000175:diagnosis / Q000209:etiology; D001921:Brain / Q000473:pathology*; D002555:Cerebrospinal Fluid / Q000276:immunology; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D008590:Meningoencephalitis / Q000150:complications; D019965:Neurocognitive Disorders / Q000150:complications; D015899:Tomography, Emission-Computed, Single-Photon