A case of sle presenting stroke-like symptoms

Koji Ishitsuka, Tetsuro Ago, Kenji Fukuda, Yoshihisa Fukushima, Seiji Gotoh, Tomohiro Yubi, Masahiro Kamouchi, Takanari Kitazono

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


We report a 50-year-old woman with systemic lupus erythematosus (SLE) who developed stroke-like symptoms, including disturbance of consciousness and severe left hemiparesis. Despite the stroke-like symptoms, MR imaging showed quite atypical findings for stroke; broad high-intensity areas in the right fronto-parietal lobes on diffusion-weighted images were shown mainly as iso-intensity areas on the ADC map, without any findings of stenosis of the cerebral large arteries. The cerebral blood flow in these areas was significantly decreased, as evaluated by single photon emission computed tomography. The present case suggests that small vessel vasculopathies localized in the unilateral hemisphere could cause "stroke-like" symptoms in SLE.

Original languageEnglish
Pages (from-to)359-362
Number of pages4
JournalInternal Medicine
Issue number4
Publication statusPublished - 2011

All Science Journal Classification (ASJC) codes

  • Internal Medicine


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