title: A case of systemic lupus erythematosus with extensive brain stem involvement.
abstract: Systemic lupus erythematosus (SLE) is a multisystem, autoimmune connective tissue disorder. Neuropsychiatric SLE (NPSLE) has varied clinical and radiological manifestations. Clinical manifestations range from subtle abnormalities of neurocognitive functions and mood changes to overt psychiatric or neurological manifestations such as seizures, stroke, and psychosis. Magnetic resonance imaging (MRI) may show various types of abnormalities. Cerebral white matter lesions are most common (60-86%). Here, we are discussing a young female who presented with alteration of sensorium and right-sided hemiparesis, and MRI of the brain showed extensive involvement of brainstem in the form of possible demyelination.
authors.affiliation: Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. sk_bhutungru1977@yahoo.co.in
authors.forename: Susheel
authors.initials: S
authors.lastname: Kumar
authors.forename: Navneet
authors.initials: N
authors.lastname: Sharma
authors.forename: Aman
authors.initials: A
authors.lastname: Sharma
authors.forename: Sushil
authors.initials: S
authors.lastname: Mahi
authors.forename: Ashish
authors.initials: A
authors.lastname: Bhalla
authors.forename: Subhash
authors.initials: S
authors.lastname: Varma