Subdural fluid collections: an unusual manifestation of CNS disease in a connective tissue disorder.
We describe a case of autoimmune cerebritis/meningitis presenting as altered mental status that was associated with subdural fluid collections in a connective tissue disorder patient. The fluid collections cleared following high dose corticosteroid therapy and the patient's clinical status improved promptly. Subdural fluid collections have not been previously reported as a manifestation of autoimmune CNS disease.
Shaskey
D J
DJ
Division of Rheumatology, University of Utah, School of Medicine, Salt Lake City, USA.
Mijer
J F
JF
Williams
H J
HJ
Sawitzke
A D
AD
D000328:Adult; D000974:Antibodies, Antinuclear / Q000032:analysis; D002493:Central Nervous System Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003240:Connective Tissue Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007124:Immunoenzyme Techniques; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D013353:Subdural Effusion / Q000175:diagnosis / Q000209:etiology*
D000974:Antibodies, Antinuclear; D011239:Prednisolone; D008775:Methylprednisolone