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Aseptic leptomeningitis in systemic lupus erythematosus. A case report
Ozlem Coşkun1, H Tuğrul Atasoy, Tuğba Tunç
1Ministry of Health, Department of Neurology, Ankara Research Hospital, Ankara, Turkey. oecoskun@hotmail.com
Objective:
Systemic lupus erythematosus (SLE) with leptomeningeal involvement is a rare condition. We report a case in a 17-year-old woman.
Clinical Presentation And Intervention:
The patient was admitted to hospital with the complaints of vertigo, nausea, vomiting, headache, diplopia, ptosis on the left and weakness of the left leg. A diagnosis of SLE was established, with diffuse leptomeningeal involvement demonstrated by cranial magnetic resonance imaging. When treated with steroids, the clinical problems resolved almost completely.
Conclusions:
Although rare, leptomeningeal involvement can complicate SLE. Cranial magnetic imaging can demonstrate tissue involvement. The condition responds to steroid therapy.