Global cerebral edema and subarachnoid hemorrhage in a patient with systemic lupus erythematosus.
Systemic lupus erythematosus is a multifactorial autoimmune disease of complex etiology, which may be associated with cognitive dysfunction, seizures, and headache. The authors present an unusual presentation of systemic lupus erythematosus complicated by global cerebral edema and subarachnoid hemorrhage secondary to rupture of a cerebral aneurysm. The complicated patient management issues are discussed.
Rozet
Irene
I
Departments of Anesthesiology, University of Washington, Seattle, Washington, USA. irozet@u.washington.edu
Vavilala
Monica S
MS
Souter
Michael
M
Lam
Arthur M
AM
D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D019635:Neurosurgical Procedures; D012121:Respiration, Artificial; D012421:Rupture; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone