Reversible profound neurologic deficits associated with transient cranial CT abnormalities and systemic lupus erythematosus.
In the case we have reported, there is a combination of factors that can be attributed to SLE and its associated complications, which may explain the transient hypodensities seen on cranial CT scan. Vasculitis and uncontrolled hypertension lead to arterial spasm, ischemia, and increased vascular permeability, all of which eventually cause cerebral edema. This edema may manifest itself clinically as profound but transient neurologic deficits.
Golloub
C A
CA
Department of Pediatrics, University of Medicine and Dentistry of New Jersey, Newark 07103.
Marcelo
N C
NC
Leahy
W
W
D000328:Adult; D001480:Basal Ganglia Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D001929:Brain Edema / Q000209:etiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D012640:Seizures / Q000209:etiology*; D013786:Thalamic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed