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Instituto Nacional de Neurología y Neurocirugía

2010, Number 2

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Arch Neurocien 2010; 15 (2)

Spontaneous spinal epidural haematoma

Romero VS, Orrego-Castellanos H, Ruiz SJL, Espejo I, Gutiérrez-Ureña S, Huerta HG, Chiquete E, Sánchez HR, Aguirre PLE

Language: Spanish
References: 28
Page: 125-128
PDF size: 125.77 Kb.


ABSTRACT

Central nervous system (CNS) manifestations of systemic lupus erythematosus (SLE) are diverse. The incidence and pathogenic mechanisms underlying CNS manifestations attributable to SLE are not entirely clear, especially when Spontaneous spinal epidural haematoma (SSEH) is considered, which only a few isolated reports of this association exist. The presentation of a patient with SLE that developed SSEH at our institution led us to reinforce this extremely unusual relationship. Case: we report a 20-years-old woman who was diagnosed of SLE two weeks before she was admitted to the hospital complaining about new onset, sudden cephalea. The head CT scan revealed subarachnoid hemorrhage. She was disposed to Intensive Care Unit. Two days later the patient presented a sudden-onset quadriplegia. Magnetic resonance imaging (MRI) of the cervical spine demonstrated a recent SSEH. Conclusions: SSEH is an unusual manifestation of SLE, this reports contributes adding autopsy and pathological findings to help elucidating the pathogenic mechanisms involved in this infrequent association.


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