A case of sle presenting stroke-like symptoms

Koji Ishitsuka, Tetsuro Ago, Kenji Fukuda, Yoshihisa Fukushima, Seiji Gotoh, Tomohiro Yubi, Masahiro Kamouchi, Takanari Kitazono

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)359-362
Number of pages4
JournalInternal Medicine
Volume50
Issue number4
DOIs
Publication statusPublished - Feb 21 2011

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Stroke
Systemic Lupus Erythematosus
Cerebrovascular Circulation
Parietal Lobe
Cerebral Arteries
Paresis
Single-Photon Emission-Computed Tomography
Consciousness
Pathologic Constriction

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 journalArticle

Ishitsuka, K, Ago, T, Fukuda, K, Fukushima, Y, Gotoh, S, Yubi, T, Kamouchi, M & Kitazono, T 2011, 'A case of sle presenting stroke-like symptoms', Internal Medicine, vol. 50, no. 4, pp. 359-362. https://doi.org/10.2169/internalmedicine.50.4548
Ishitsuka K, Ago T, Fukuda K, Fukushima Y, Gotoh S, Yubi T et al. A case of sle presenting stroke-like symptoms. Internal Medicine. 2011 Feb 21;50(4):359-362. https://doi.org/10.2169/internalmedicine.50.4548
Ishitsuka, Koji ; Ago, Tetsuro ; Fukuda, Kenji ; Fukushima, Yoshihisa ; Gotoh, Seiji ; Yubi, Tomohiro ; Kamouchi, Masahiro ; Kitazono, Takanari. / A case of sle presenting stroke-like symptoms. In: Internal Medicine. 2011 ; Vol. 50, No. 4. pp. 359-362.
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