Case Report: A Case Report on an 18-Year-Old Female with Cerebral Vasculitis in Systemic Lupus Erythematosus (SLE)
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Updated: Jul 20, 2026

A Volumetric Method for Quantification of Cerebral Vasospasm in a Murine Model of Subarachnoid Hemorrhage
Published on: July 28, 2018
Sakshi Dudhe1, Gaurav V Mishra1, Pratap Singh Parihar1
1Department of Radio-Diagnosis,, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India.
Insights
Systemic Lupus Erythematosus (SLE) can cause severe cerebral vasculitis, leading to neurological decline. This case highlights the critical need for early diagnosis and improved treatments for SLE-related central nervous system vasculitis.
Area of Science:
- Neurology
- Rheumatology
- Immunology
Background:
- Systemic Lupus Erythematosus (SLE) is an autoimmune disease with potential neurological complications.
- Cerebral vasculitis is a rare but serious manifestation of SLE, posing diagnostic and therapeutic challenges.
Observation:
- An 18-year-old female with known SLE presented with seizures, cognitive decline, and unresponsiveness.
- Diagnostic workup, including neurological examination, labs, and imaging, confirmed cerebral vasculitis secondary to SLE.
Findings:
- Despite aggressive immunosuppressive therapy, the patient experienced neurological deterioration.
- The patient developed respiratory failure and multiorgan dysfunction, ultimately succumbing to complications of CNS vasculitis.
Implications:
- This case emphasizes the critical need for prompt recognition and aggressive management of SLE-related cerebral vasculitis.
- Further research is essential to develop more effective therapies for central nervous system vasculitis in SLE patients to improve outcomes.
Abstract:
Cerebral vasculitis is a rare but severe complication of Systemic Lupus Erythematosus (SLE), presenting significant challenges in management due to its potential for devastating neurological consequences and poor prognosis. We present a case of an 18-year-old female with known SLE who presented with seizures, declining cognitive function, and unresponsiveness. Neurological examination, laboratory investigations, and radiological imaging supported the diagnosis of cerebral vasculitis secondary to SLE. Despite aggressive immunosuppressive therapy, the patient's neurological status continued to deteriorate, leading to respiratory failure and multiorgan dysfunction. Ultimately, the patient succumbed to multiorgan failure attributed to severe CNS vasculitis and its complications. This case underscores the importance of early recognition and aggressive management of cerebral vasculitis in SLE while highlighting the need for further research into more effective therapeutic strategies to improve patient outcomes.
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