[Cerebral venous thrombosis and acute polyradiculoneuritis revealing systemic lupus erythematosus].
BACKGROUND
Neurological manifestations of systemic lupus erythematosus are frequent and polymorphic. In 40% of cases, lupus can be revealed by neurological symptoms. Cerebral nervous system complications predominate and can be a negative factor for prognosis. Peripheral features are rare and various and can compromise functional prognosis, sometimes with fatal outcome.


METHODS
We report the case of a 30-year-old woman who presented a cerebral venous thrombosis of the superior longitudinal sinus. Outcome was favorable with antibiotics and anticoagulants. Four months later, she developed an acute polyradiculoneuritis associated with an inflammatory syndrome and positive tests for antinuclear antibody and antinuclear anti-DNA. The diagnosis of neurolupus was retained on the basis of four criteria of the American college of Rheumatology. The patient was given steroid therapy associated with a course of intravenous immunoglobulin. She has fully recovered her deficit.


CONCLUSIONS
Cerebral venous thrombosis and acute polyradiculonévrites are rare events in systemic lupus erythematosus. Early diagnosis and management are crucial.
Ahbeddou
N
N
Service de Neurologie B, Hôpital des Spécialités, BP 6220 Rabat-Instituts, Rabat, Maroc. nadou-bis@hotmail.com
Benomar
A
A
Rasmouni
K
K
Quessar
A
A
Ouhabi
H
H
Ait Ben Haddou
E
E
Yahyaoui
M
M
D000328:Adult; D003392:Cranial Sinuses / Q000473:pathology; D004568:Electrodiagnosis; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D009046:Motor Neurons / Q000502:physiology; D009431:Neural Conduction / Q000502:physiology; D011129:Polyradiculoneuropathy / Q000150:complications / Q000473:pathology*; D011379:Prognosis; D011984:Sensory Receptor Cells / Q000502:physiology; D012851:Sinus Thrombosis, Intracranial / Q000150:complications / Q000473:pathology*