Middle cerebral artery involvement in systemic lupus erythematosus presenting as a stroke - an unusual initial presentation of the disease

作者：Sideras Panagiotis A^*; Jacob Joel; Mann Amitasha; Singh Jaswinder; Buzzola Rino; Abrudescu Adriana

来源：Journal of Clinical Neuroscience, 2012, 19(10): 1463-1464.

DOI：10.1016/j.jocn.2012.03.003

• Cerebral vasculopathy
• Middle cerebral artery
• SLE
• Subacute Stroke

Systemic lupus erythematosus (SLE) disproportionately affects the African American population and usually presents with a constellation of symptoms. Along with hematologic, musculoskeletal, serous and skin involvement, the most common causes of morbidity are attributed to altered blood rheology causing accelerated atherosclerotic vascular disease (ASVD). ASVD occurs in predominantly premenopausal women at an age where ASVD is rare or uncommon. Classical central nervous system manifestations are very rare from the outset of the disease. Here we present a 44-year old African American woman with newly diagnosed SLE and no significant atherosclerotic risk factors, who presented initially with symptoms of subacute stroke. Published by Elsevier Ltd.

• 出版日期2012-10