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J Huazhong Univ Sci Technolog Med Sci. 2009 Feb;29(1):107-11. doi: 10.1007/s11596-009-0123-3. Epub 2009 Feb 18.

Intracranial hypertension syndrome in systemic lupus erythematosus: clinical analysis and review of the literature.

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1
Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. xuezheng@tjh.tjmu.edu.cn

Abstract

In order to better understand the clinical manifestation of systemic lupus erythematosus (SLE) with intracranial hypertension syndrome (IHS), we analyzed the clinical features and treatment of a typical SLE patient with IHS. SLE is one of the most unpredictable autoimmune diseases involving multiple organ systems that is defined clinically and associated with antibodies directed against cell nuclei. IHS is an uncommon manifestation of neuropsychiatric SLE (NPSLE) and is characterized by an elevated intracranial pressure, papilledema, and headache with occasional abducens nerve paresis, absence of a space-occupying lesion or ventricular enlargement, and normal cerebrospinal fluid chemical and hematological constituents. IHS has been reported in a few sporadic cases in patients with SLE worldwide, but rarely has been reported in China. In this study, a 34-year-old female SLE patient with IHS was reported and pertinent literature reviewed. The clinical presentation, image logical features, and investigatory findings were discussed.

PMID:
19224175
DOI:
10.1007/s11596-009-0123-3
[Indexed for MEDLINE]
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