Intractable Progressive Cerebral Infarction with Multiple Atypical Aneurysms in Systemic Lupus Erythematosus전신홍반루푸스에서 다발성 비정형 동맥류를 동반한 난치성 진행성 뇌경색
- Other Titles
- 전신홍반루푸스에서 다발성 비정형 동맥류를 동반한 난치성 진행성 뇌경색
- Authors
- 이종민; 김현영; 김영서; 배상철; 이지영; 이영준
- Issue Date
- Dec-2020
- Publisher
- The Korean Society of Neurosonology
- Citation
- Journal of Neurosonology and Neuroimaging, v.13, no.2, pp.71 - 75
- Indexed
- KCI
- Journal Title
- Journal of Neurosonology and Neuroimaging
- Volume
- 13
- Number
- 2
- Start Page
- 71
- End Page
- 75
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/192373
- DOI
- 10.31728/jnn.2021.00103
- ISSN
- 2635-4357
- Abstract
- We report a case of intractable progressive cerebral infarction with multiple fusiform aneurysms in a 34-year-old female patient with systemic lupus erythematosus (SLE), non-responsive to massive immunotherapy. The patient visited the emergency department with dysarthria and left-sided hemiparesis that occurred 2 days before. She was diagnosed with SLE involving the brain and received 12 cycles of cyclophosphamide 12 years prior. Brain diffusion-weighted imaging showed acute infarctions involving the pons and medulla. Additionally, multifocal microbleeding-like signals in various cisternal spaces were detected using susceptibility-weighted imaging. Digital subtraction angiography revealed multiple fusiform aneurysms. Despite antithrombotic treatment with trif lusal and immunotherapies, including corticosteroids, mycophenolate mofetil, and immunoglobulins, for cerebral vasculitis associated infarction, her neurologic deficits worsened with recurrent cerebral infarction. Further investigation for accurate diagnosis and treatment is required.
- Files in This Item
-
Go to Link
- Appears in
Collections - 서울 의과대학 > 서울 영상의학교실 > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.