A Case of SLE Presenting Stroke-Like Symptoms
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概要
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We report a 50-year-old woman with systemic lupus erythematosus (SLE) who developed stroke-like symptoms, including disturbance of consciousness and severe left hemiparesis. Despite the stroke-like symptoms, MR imaging showed quite atypical findings for stroke; broad high-intensity areas in the right fronto-parietal lobes on diffusion-weighted images were shown mainly as iso-intensity areas on the ADC map, without any findings of stenosis of the cerebral large arteries. The cerebral blood flow in these areas was significantly decreased, as evaluated by single photon emission computed tomography. The present case suggests that small vessel vasculopathies localized in the unilateral hemisphere could cause "stroke-like" symptoms in SLE.
著者
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Ishitsuka Koji
Division of Cerebrovascular Disorders, St. Marys Hospital, Japan
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Ago Tetsuro
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University,
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Fukuda Kenji
Division of Cerebrovascular Disorders, St. Marys Hospital, Japan
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Fukushima Yoshihisa
Division of Cerebrovascular Disorders, St. Marys Hospital, Japan
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Gotoh Seiji
Division of Cerebrovascular Disorders, St. Marys Hospital, Japan
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Yubi Tomohiro
Division of Cerebrovascular Disorders, St. Marys Hospital, Japan
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Kamouchi Masahiro
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University,
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Kitazono Takanari
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University,
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Ago Tetsuro
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Kamouchi Masahiro
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Kitazono Takanari
Department Of Clinical Sciences Graduate School Of Medical Sciences Kyushu University
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Fukuda Kenji
Division of Applied Bioscience, Graduate School of Agriculture, Hokkaido University
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Ishitsuka Koji
Division of Cerebrovascular Disorders, St. Mary's Hospital, Japan
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Gotoh Seiji
Division of Cerebrovascular Disorders, St. Mary's Hospital, Japan
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Fukushima Yoshihisa
Division of Cerebrovascular Disorders, St. Mary's Hospital, Japan
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Kitazono Takanari
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Japan
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Kamouchi Masahiro
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Japan
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Kamouchi Masahiro
Department of Cerebrovascular Disease, Cerebrovascular Center and Clinical Research Institute, National Hospital Organization Kyushu Medical Center
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Fukuda Kenji
Division of Cerebrovascular Disorders, St. Mary's Hospital, Japan
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