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Communicating hydrocephalus in systemic lupus erythematosus
Rashmita Nayak1, J N Behera, A Mallick
1Departments of Pediatrics and *Radiology, SCB Medical College, Cuttack, Odisha, India. Correspondence: Dr Rashmita Binod Nayak, Senior Resident, Department of Pediatrics, SCB Medical College and Hospital, Cuttack, Odisha, 753 007, India. rashmitabnayak@gmail.com.
Background:
Central nervous system involvement is common in systemic lupus erythematosus but hydrocephalus, especially in children, is rare.
Case Characteristics:
6-year-old girl with systemic lupus erythematosus with nephritis, on treatment for four months prior to the presentation with features of raised intracranial pressure.
Observation:
Computed tomography revealed communicating hydrocephalus without any evidence of granulomatous lesion, infarction or thrombosis, with no features of lupus flare. Ventriculoperitoneal shunting provided symptomatic relief after failed medical management.
Message:
Hydrocephalus may be seen in systemic lupus erythematosus without tuberculosis or major vessel vasculitis.
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