A Case Report of Pontine Infarction as an Initial Manifestation of Systemic Lupus Erythematosus:Diagnostic Clues from MRI and Digital Subtraction Angiography
Journal of the Korean Radiological Society
;
: 1281-1286, 2021.
Artículo
en Inglés
| WPRIM
| ID: wpr-893682
ABSTRACT
Brainstem infarction due to vertebrobasilar insufficiency is a rare initial presentation of systemic lupus erythematosus (SLE) patients and small-vessel dissection as the direct cause of infarction has not been reported. We report the case of a 20-year-old female with acute infarction on the right side of the pons due to a small artery (pontine perforator) dissection, identified on digital subtraction angiography and high-resolution vessel wall MRI (vwMRI). She was diagnosed with SLE based on the presence of neurologic disorders and relevant laboratory findings. The pontine perforator-dissecting aneurysm had occluded and the right distal vertebral artery had resolved on subsequent vwMRI. She had a modified Rankin Scale (mRS) score of 1 at discharge with mild symptom improvement, and exhibited no further aggravation of symptoms at 3 or 12 months, maintaining an mRS score of 1.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Idioma:
Inglés
Revista:
Journal of the Korean Radiological Society
Año:
2021
Tipo del documento:
Artículo
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