[Multiple aneurysms and cerebral vasculitis in systemic lupus erythematosus].
A female in whom systemic lupus erythematosus had been diagnosed 5 years before suddenly developed headache and recurrent vomiting. Cranial computed tomography (CT) was consistent with subarachnoid hemorrhage, and cerebral arteriography disclosed cerebral aneurysms, multiple microaneurysms and cerebral vasculitis. After 7 days she developed left hemiparesis, and a cerebral infarct area was apparent in a new CT scan. Despite the poor prognosis of these lesions, the patient had a favorable outcome, without residual neurological deficit, after having been treated with intravenous corticosteroid boluses and oral cyclophosphamide.
Atanes Sandoval
A
A
Sánchez Bursón
J M
JM
Graña Gil
J
J
Martínez Muñiz
A
A
Galdo Fernández
F
F
D000328:Adult; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D011379:Prognosis; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014657:Vasculitis / Q000000981:diagnostic imaging / Q000209:etiology*
Aneurismas múltiples y vasculitis cerebral en el lupus eritematoso sistémico.