title: Spontaneous intracranial hemorrhage as an initial manifestation of primary Sjögren's syndrome: a case report.
abstract: BACKGROUND
  Sjögren's syndrome can involve the central nervous system; however, spontaneous intracranial hemorrhage has rarely been reported as the initial manifestation.
  
  
  METHODS
  We report a 39-year-old woman with primary Sjögren's syndrome presenting with intracranial hemorrhage. The diagnosis of primary Sjögren's syndrome was based on the presence of ocular dryness, salivary gland secretory and excretory dysfunction confirmed with dynamic tracer emission CT, and positive anti-Sjögren's syndrome A and anti-Sjögren's syndrome B antibodies.
  
  
  CONCLUSIONS
  Primary Sjögren's syndrome can present with variable central nervous system signs, which may precede the classic sicca symptoms. Therefore, Sjögren's syndrome-associated indicators should be investigated in patients without the common risk factors for stroke who present with spontaneous intracranial hemorrhage.
authors.affiliation: Department of Neurology, General Hospital of Beijing Military Region, Beijing 100700, China. wgqbj@163.com
authors.forename: Guo-Qiang
authors.initials: GQ
authors.lastname: Wang
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Zhang
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D012469:Salivary Glands / Q000473:pathology; D012796:Sialography; D012859:Sjogren's Syndrome / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed
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