Aseptic leptomeningitis in systemic lupus erythematosus. A case report.
OBJECTIVE
Systemic lupus erythematosus (SLE) with leptomeningeal involvement is a rare condition. We report a case in a 17-year-old woman.


METHODS
The patient was admitted to hospital with the complaints of vertigo, nausea, vomiting, headache, diplopia, ptosis on the left and weakness of the left leg. A diagnosis of SLE was established, with diffuse leptomeningeal involvement demonstrated by cranial magnetic resonance imaging. When treated with steroids, the clinical problems resolved almost completely.


CONCLUSIONS
Although rare, leptomeningeal involvement can complicate SLE. Cranial magnetic imaging can demonstrate tissue involvement. The condition responds to steroid therapy.
Coşkun
Ozlem
O
Ministry of Health, Department of Neurology, Ankara Research Hospital, Ankara, Turkey. oecoskun@hotmail.com
Atasoy
H Tuğrul
HT
Tunç
Tuğba
T
Yildiz
Hülya
H
Inan
Levent E
LE
D000293:Adolescent; D016080:Arachnoid Cysts / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D003907:Dexamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache / Q000150:complications; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D011859:Radiography
D005938:Glucocorticoids; D003907:Dexamethasone