A systemic lupus erythematosus patient with thunderclap headache: reversible cerebral vasoconstriction syndrome

Autor:	Hyung-In Yang, Sang Hyub Lee, R Ra, Seung-Jae Hong, Keung-Ho Lee, Youn-Hyung Lee, Sung Hyuk Heo, Ran Song, Sang Wan Chung
Rok vydání:	2019
Předmět:	Adult medicine.medical_specialty Headache Disorders Primary Cerebral arteries Central nervous system Magnetic resonance angiography Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Rheumatology immune system diseases Internal medicine medicine Humans Vasospasm Intracranial skin and connective tissue diseases Nimodipine Thunderclap headaches 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Lupus Vasculitis Central Nervous System Brain Syndrome Cerebral Arteries medicine.disease Reversible cerebral vasoconstriction syndrome medicine.anatomical_structure Vasoconstriction Cardiology Female Headaches medicine.symptom Vasculitis business Magnetic Resonance Angiography 030217 neurology & neurosurgery medicine.drug
Zdroj:	Lupus. 28:898-902
ISSN:	1477-0962 0961-2033
DOI:	10.1177/0961203319845485
Popis:	Headaches are common in patients with systemic lupus erythematosus (SLE). It is important to identify the exact cause of headaches in SLE to avoid unnecessary steroid or immunosuppressive therapy like in neuropsychiatric SLE. A 35-year-old woman with SLE suddenly developed severe headache. Magnetic resonance angiography showed multifocal segmental narrowing of cerebral arteries, suggestive of central nervous system vasculitis. However, lack of abnormal enhancement in vessel wall imaging indicated reversible cerebral vasoconstriction syndrome (RCVS) rather than central nervous system vasculitis. The patient was treated with oral nimodipine and she recovered over a period of two months. Following magnetic resonance angiography on day 90 was normal. Herein we report a case of reversible cerebral vasoconstriction syndrome in an SLE patient with literature review.
Databáze:	OpenAIRE
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