Seizures and loss of vision in a patient with systemic lupus erythematosus

E. Özgencil, C. Gülücü, Ş Yalçýn, Z. Alanoǧlu, N. Ünal, M. Oral, M. Tulunay

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare neurological condition identifiable by clinical presentation and MRI appearance. Patients present with headache, seizures, loss of vision and altered mental function. The pathogenesis of the syndrome is poorly understood. One hypothesis is that cerebral vasospasm results in cerebral ischaemia and subsequent development of T2 hyperintensity, and the other is a temporary failure of the autoregulatory capabilities of the cerebral vessels, leading to hyperperfusion, breakdown of the blood-brain barrier, and consequent vasogenic oedema. It is believed that a rapid rise in blood pressure overcomes cerebral autoregulatory mechanisms with abrupt dilatation of cerebral arterioles. We report a patient with systemic lupus erythematosus and PRES after recurrent spontaneous abortion.

Original languageEnglish
Number of pages1
JournalNetherlands Journal of Medicine
Volume65
Issue number7
StatePublished - Jul 1 2007
Externally publishedYes

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