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Case Reports
[Subarachnoid hemorrhages form ruptured aneurysms as the presenting feature of lupus cerebral vasculitis].
- S Brah, G Thomas, F Chapon, J Franques, N Jourde, J-R Harlé, J-M Durand, R Jean, and L Chiche.
- Service de médecine interne, hôpital universitaire de la Conception, 147, boulevard Baille, 13005 Marseille, France.
- Rev Med Interne. 2012 Feb 1; 33 (2): e10-3.
AbstractCerebral aneurysms secondary to cerebral vasculitis related to systemic lupus erythematosus are rare. We report a 31-year-old woman who presented with a lupus flare associated with inaugural generalized seizures. Computed tomography angiography showed subarachnoid hemorrhage by rupture of a cerebellar artery fusiform aneurysm. Later, despite the initiation of corticosteroids and cyclophosphamide, she presented a second cerebral hemorrhage due to the rupture of a new aneurysm in lenticulostriates arteries. The outcome was fatal. We discuss the frequency and management of this severe complication of systemic lupus erythematosus.Copyright © 2011 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.
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