Cerebellar infarction : Report of a case with systemic lupus erythematosus
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概要
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A 32-year-old woman developed a sudden onset of vertigo, nausea and vomiting six days after she noted facial palsy on the left side. She had a history of pain in her left elbow accompanied by low grade fever three months prior to this episode. On admission, the blood pressure was 126/68 mmHg and heart sounds were normal. She was alert and well orientated. Neurological examinations revealed horizontal nystagmus, left facial nerve palsy of a peripheral type, hearing disturbance of the left ear, incoordinations of the left upper and lower extremities, and unsteadiness of gait. Raynaud's phenomenon and splinter hemorrhage of the nail were also noted while she was hospitalized. In addition to these symptoms, laboratory examinations disclosed marked proteinuria, increased blood sedimentation rate, positive LE cell tests and existence of the antibodies to DNA, suggesting that she was in an active stage of systemic lupus erythematosus (SLE). The CT scan performed 4 days after the onset showed a relatively large area of low density in the left cerebellar hemisphere, which was enhanced by the contrast medium after two weeks. Reexamination of CT seven months later demonstrated the clearly recognizable area of low density with well-defined margins, which was indicative of infarcted tissue. Vertebral angiography revealed stenosis of the left superior cerebellar artery at its origin. From the results of these examinations she was diagnosed as having cerebellar infarction probably due to cerebral vasculitis caused by SLE. To the best of our knowlege, this is the first report of the case with cerebellar infarction associated with SLE in Japan.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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