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Systemic lupus erythematosus presenting with steroid‐responsive parkinsonism and post‐hemiplegic dystonia
Author(s) -
Lim S.M.,
Oldfield M.,
Abbott R.J.
Publication year - 1998
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1046/j.1468-1331.1998.530309.x
Subject(s) - parkinsonism , medicine , dystonia , neuropathology , magnetic resonance imaging , systemic lupus erythematosus , pathology , disease , radiology , psychiatry
A young male patient who presented with steroid‐responsive parkinsonism, hemiplegia, thrombocytopaenia and systemic illness who was subsequently diagnosed to have systemic lupus erythematosus (SLE) is described. He later developed post‐hemiplegic dystonia. Thalamic lesions on magnetic resonance imaging (MRI) are demonstrated. Clinical features and neuropathology of central nervous system lupus are discussed. This is the first report of SLE presenting with Parkinsonism, and the first to demonstrate anatomically‐relevant MRI lesions in Parkinsonism associated with SLE.