title: Bilateral Abducens Nerve Palsy due to Idiopathic Intracranial Hypertension as an Initial Manifestation of Systemic Lupus Erythematosus.
abstract: Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure and presents as an intractable headache, vomiting, and ophthalmologic manifestations. We herein report the case of a young girl who presented with bilateral abducens nerve palsy due to IIH as the onset of systemic lupus erythematosus (SLE). The patient was successfully treated with corticosteroid therapy. Our case lacked the typical symptoms of IIH, such as headache or nausea; therefore, it is necessary to carefully determine the cause of bilateral abducens nerve palsies. The development of IIH in SLE patients is a rare occurrence, but this manifestation should not be overlooked.
authors.affiliation: Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
authors.forename: Eri
authors.initials: E
authors.lastname: Katsuyama
authors.forename: Ken-Ei
authors.initials: KE
authors.lastname: Sada
authors.forename: Noriko
authors.initials: N
authors.lastname: Tatebe
authors.forename: Haruki
authors.initials: H
authors.lastname: Watanabe
authors.forename: Takayuki
authors.initials: T
authors.lastname: Katsuyama
authors.forename: Mariko
authors.initials: M
authors.lastname: Narazaki
authors.forename: Koichi
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Katsue S
authors.initials: KS
authors.lastname: Watanabe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Wakabayashi
authors.forename: Tomoko
authors.initials: T
authors.lastname: Kawabata
authors.forename: Jun
authors.initials: J
authors.lastname: Wada
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Makino
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology*; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones