Síndrome de hipertensión intracraneana como manifestación inhabitual del síndrome de Sjögren. Caso clínico / Intracranial hypertension syndrome as an unusual manifestation of Sjögren's syndrome. Report of one case
Rev. méd. Chile
; 151(3): 387-391, mar. 2023. ilus
Article
Dans Es
| LILACS
| ID: biblio-1530267
Responsable en Bibliothèque :
CL126.2
ABSTRACT
Neurological manifestations such as polyneuropathy are reported in 8-49% of cases with Sjögren's Syndrome (SjS), but central nervous system involvement is seldom described. We report a 46-year-old woman with a history of SjS with distal renal tubular acidosis and autoimmune thyroiditis. She consulted in the emergency room for a five-days history of holocranial headache and explosive vomiting. Fundoscopy showed bilateral papilledema. Brain computed tomography (CT) without contrast showed diffuse encephalic edema, with effacement ofsulci and restriction ofperitruncal cisterns. Brain AngioCT ruled out thrombosis, and brain magnetic resonance (MRI) was without structural alterations or hydrocephalus. Lumbar puncture had increased cerebrospinal fluid output pressure but without cytochemical alterations, and negative gram, cultures and filmarray. The diagnosis of Intracranial Hypertension Syndrome (ICHTS) ofprobable autoimmune etiology in the context of SjS was proposed, and management with high-dose corticosteroids was initiated with favorable clinical and imaging response.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Syndrome de Gougerot-Sjögren
/
Hypertension intracrânienne
Limites du sujet:
Female
/
Humans
langue:
Es
Texte intégral:
Rev. méd. Chile
Thème du journal:
MEDICINA
Année:
2023
Type:
Article