Reversible cerebral vasoconstriction syndrome in a patient with systemic lupus erythematosus

VV Ashraf, Ramesh Bhasi, KG Ramakrishnan, R Praveenkumar, AS GirijaNeurology India 2012 60(6):635-637A 42-year-old woman, a diagnosed case of systemic lupus erythematosus (SLE), developed severe headache followed by left hemiparesis and cortical blindness. Magnetic resonance imaging (MRI) of brain demonstrated right parieto-occipital infarct and the patient was initiated on high-dose steroids and antiplatelet agents with which the patient had clinical and radiological deterioration. Magnetic Resonance angiography showed severe narrowing of bilateral anterior, middle, and posterior cerebral arteries (PCA) suggestive of reversible cerebral vasoconstriction syndrome (RCVS). Patient was treated with IV nimodipine and she recovered over a period of 2 weeks. Repeat MR-angiography done on day-30 …MedWorm Sponsor Message: Find the best Christmas presents and January Sales in the UK with this simple shopping directory.
Source: Blindness