title: Acute spinal subdural hematoma in a patient with active systemic lupus erythematosus: a case report and literature review.
abstract: We herein describe a case of acute spinal subdural hematoma (SSDH) during the administration of high-dose corticosteroids and intravenous heparin for the treatment of active lupus nephritis. After SSDH was promptly diagnosed using magnetic resonance imaging (MRI), the patient recovered well with conservative treatment involving the discontinuation of heparin sodium. Although SSDH is a rare complication, it should be considered as a cause of neurological manifestations in patients with active systemic lupus erythematosus.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, National Defense Medical College, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Akita
authors.forename: Taishi
authors.initials: T
authors.lastname: Wada
authors.forename: Shunpei
authors.initials: S
authors.lastname: Horii
authors.forename: Mitsuyo
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Adachi
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Kimura
authors.forename: Kenji
authors.initials: K
authors.lastname: Itoh
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D046649:Hematoma, Subdural, Spinal / Q000453:epidemiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000453:epidemiology*; D008181:Lupus Nephritis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D011239:Prednisolone / Q000627:therapeutic use
chemical_list: D006493:Heparin; D011239:Prednisolone