Skip to main content

Advertisement

Log in

Cerebellum vasculopathy and normal tension glaucoma in systemic lupus erythematosus: report of a case and review of the literature

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Cerebellar vasculopathy is an uncommon but clinically important neuropsychiatric syndrome of systemic lupus erythematosus (NP-SLE) for its ominous outcome and need for prompt interventions. We described a young Chinese lady with systemic lupus erythematosus and normal tension glaucoma, who had sudden headache, nausea and vomiting coupled with rapid neurological deterioration leading to comatose status. Diagnosis of lupus cerebellar vasculopathy was made and intense immunosuppressive therapy consisting of prednisolone and cyclophosphamide was commenced. Clinical condition was salvaged with marked improvement of both sensorium and general well-being.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Grigor R, Edmonds J, Lewkonia R et al (1978) Systemic lupus erythematosus: a prospective analysis. Ann Rheum Dis 37:121–128

    PubMed  CAS  Google Scholar 

  2. Johnson RT, Richardson EP (1968) The neurological manifestations of systemic lupus erythematosus: a clinicopathological study of 24 cases and review of the literature. Medicine 47:337–369

    PubMed  CAS  Google Scholar 

  3. Yaginuma M, Suenaga M, Shiono Y et al (2000) Acute cerebellar ataxia of a patient with SLE. Clin Neurol Neurosurg 102:37–39

    Article  PubMed  CAS  Google Scholar 

  4. Manto MU, Rondeaux P, Jacquy J et al (1996) Subacute pancerebellar syndrome associated with systemic lupus erythematosus. Clin Neurol Neurosurg 98:157–160

    Article  PubMed  CAS  Google Scholar 

  5. Lancman ME, Pomeraniec C, Norscini J (1992) Magnetic resonance imaging findings in lupus ataxia. Acta Neurol Scand 86:425–426

    Article  PubMed  CAS  Google Scholar 

  6. Smith RW, Ellison DW, Jenkins EA et al (1994) Cerebellum and brainstem vasculopathy in systemic lupus erythematosus: two clinico-pathological cases. Ann Rheum Dis 53:327–330

    PubMed  CAS  Google Scholar 

  7. Singh RR, Prasad K, Kumar A et al (1988) Cerebellar ataxia in systemic lupus erythematosus: three case reports. Ann Rheum Dis 47:954–956

    Article  PubMed  CAS  Google Scholar 

  8. Tokio S, Nobutohsi K, Tetsuo T et al (1993) Purkinje cell antibody in lupus ataxia. Lancet 342:375–346

    Google Scholar 

  9. Flammer J, Orgul S, Costa VP et al (2002) The impact of ocular blood flow in glaucoma. Prog Retin Eye Res 21:359–393

    Article  PubMed  Google Scholar 

  10. Wallace DJ, Hahn BH (2002) Dubois’ lupus erythematosus. Systemic lupus erythematosus and the nervous system, 6th edn, Chapter 35, pp 693–738

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David T. L. Liu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chan, A.Y.K., Li, E.K., Wong, G.L.H. et al. Cerebellum vasculopathy and normal tension glaucoma in systemic lupus erythematosus: report of a case and review of the literature. Rheumatol Int 27, 101–102 (2006). https://doi.org/10.1007/s00296-006-0161-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-006-0161-0

Keywords

Navigation