Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 359-362 |
| Number of pages | 4 |
| Journal | Internal Medicine |
| Volume | 50 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Feb 21 2011 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Internal Medicine
Cite this
A case of sle presenting stroke-like symptoms. / Ishitsuka, Koji; Ago, Tetsuro; Fukuda, Kenji; Fukushima, Yoshihisa; Gotoh, Seiji; Yubi, Tomohiro; Kamouchi, Masahiro; Kitazono, Takanari.
In: Internal Medicine, Vol. 50, No. 4, 21.02.2011, p. 359-362.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of sle presenting stroke-like symptoms
AU - Ishitsuka, Koji
AU - Ago, Tetsuro
AU - Fukuda, Kenji
AU - Fukushima, Yoshihisa
AU - Gotoh, Seiji
AU - Yubi, Tomohiro
AU - Kamouchi, Masahiro
AU - Kitazono, Takanari
PY - 2011/2/21
Y1 - 2011/2/21
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=79951652802&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79951652802&partnerID=8YFLogxK
U2 - 10.2169/internalmedicine.50.4548
DO - 10.2169/internalmedicine.50.4548
M3 - Article
C2 - 21325772
AN - SCOPUS:79951652802
VL - 50
SP - 359
EP - 362
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 4
ER -