Skip to main content
SpringerLink
Log in

Marked saggital sinus dilatation and thrombi without thrombosis in a patient with systemic lupus erythematosus

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

Abstract

Superior saggital sinus thrombosis (SSST), which has a strong causal link with antiphospholipid syndrome, rarely occurs in patients with systemic lupus erythematosus (SLE). We describe a 34-year-old woman with SLE whose clinical problem was mild headache. Her serology indicated negative antiphospholipid, anticardiolipin antibodies and lupus anticoagulants. However, marked dilatation of the entire saggital sinus with scattered thrombi was observed in enhanced-, surface- and three-dimensional reconstructed CTs (3D-CTs) without abnormal intra-axial signal in brain MRI. The enhanced-, surface- and 3D-CTs are useful to detect silent dural sinus dilatation with scattered thrombi in a patient with SLE without any symptoms of SSST.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Gladman DD, Urowiz MB (1994) Systemic lupus erythematosus—clinical features. In: Klippel JH, Dieppe PA (eds) Rheumatology mosby, St. Louis 6.2.1–6.2.24

  2. Carhuapoma JR, Mitsias P, Levine SR (1997) Cerebral venous thrombosis and anticardiolipin antibodies. Stroke 28:2363–2369

    PubMed  CAS  Google Scholar 

  3. Jennings JE, Sundgren PC, Attwood J et al (2004) Value of MRI of the brain in patients with systemic lupus erythematosus and neurologic disturbance. Neuroradiology 46:15–21

    Article  PubMed  CAS  Google Scholar 

  4. Isshi K, Hirohata S (1998) Differential roles of the anti-ribosomal P antibody and antineuronal antibody in the pathogenesis of central nervous system involvement in systemic lupus erythematosus. Arthritis Rheum 41:1819–1827

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurology, Sapporo Medical University School of Medicine, Minami 1-Jo Nishi 16 chome, Chuo-ku, Sapporo, 060-8543, Japan

    Susumu Chiba, Takeshi Koizumi & Hiroyuki Matsumoto

  2. Department of Neurosurgery, Sapporo Medical University School of Medicine, Sapporo, Japan

    Misuzu Ohsaka, Tadashi Nonaka & Kiyohiro Houkin

Authors
  1. Susumu Chiba
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takeshi Koizumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiroyuki Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Misuzu Ohsaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tadashi Nonaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kiyohiro Houkin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Susumu Chiba.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chiba, S., Koizumi, T., Matsumoto, H. et al. Marked saggital sinus dilatation and thrombi without thrombosis in a patient with systemic lupus erythematosus. Clin Rheumatol 25, 911–913 (2006). https://doi.org/10.1007/s10067-005-0094-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10067-005-0094-0

Keywords

Search

Navigation