Diffusion-weighted magnetic resonance images in a patient with neuropsychiatric lupus.
We report herein the case of a 27-year-old woman with neuropsychiatric lupus who experienced disturbance of consciousness and left hemiparesis. Steroid treatment was initiated and symptoms resolved within 2 months. T2- and diffusion-weighted imaging revealed signal hyper intensity in the right cerebral cortex. Apparent diffusion coefficient values in these lesions increased, but normalized over 2 months. These findings indicate that cortical lesions in patients with neuropsychiatric lupus could represent vasogenic oedema.
Iguchi
Yasuyuki
Y
Department of Stroke Medicine and Neurology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, Japan. yigu@med.kawasaki-m.ac.jp
Kimura
Kazumi
K
Inoue
Tsuyoshi
T
Ueno
Yuji
Y
Sunada
Yoshihide
Y
D000328:Adult; D001929:Brain Edema / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D003244:Consciousness Disorders / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D020945:Lupus Vasculitis, Central Nervous System / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D010291:Paresis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids