A new kind of and reversible brainstem involvement in primary Sjögren's syndrome as an initial manifestation.
The prevalence of abnormalities on brain magnetic resonance imaging (MRI) varies in primary Sjögren's syndrome (pSS) patients and they are generally multiple hyperintense areas in the subcortical and periventricular white matter on T2-weighted and fluid-attenuated inversion recovery sequences. Here, we report brainstem involvement in a patient with pSS that was extensive on MRI, but reversible. The patient's outcome was positive. To our knowledge, a similar case has not previously been described.
Yerdelen
Deniz
D
Department of Neurology, Baskent University Faculty of Medicine, Adana, Turkey. yerdelend@gmail.com
Karataş
Mehmet
M
Alkan
Ozlem
O
Tufan
Müge
M
D001933:Brain Stem / Q000473:pathology*; D002533:Cerebral Angiography; D002540:Cerebral Cortex / Q000473:pathology; D002552:Cerebral Ventricles / Q000473:pathology; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination; D012859:Sjogren's Syndrome / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed