Yago Toru, Tateishi Mutsuto, Ichikawa Naomi, Furuya Takefumi, Sakurai Tadashi, Nakajima Hiroshi, Hara Masako, Kamatani Naoyuki
Institute of Rheumatology, Tokyo Women's Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo, 162-0054, Japan.
Mod Rheumatol. 2005;15(5):367-70. doi: 10.1007/s10165-005-0425-7.
A 27-year-old woman suffering from systemic lupus erythematosus was admitted because she had motor and sensory palsy of the lower extremities, neck stiffness, and a fever. Cerebrospinal fluid study indicated meningitis, and magnetic resonance imaging revealed cord swelling and high signals at Th9-Th12 levels. Antibiotics treatment led to resolution of the meningeal signs. Intravenous cyclophosphamide and prednisolone resulted in a partial recovery from the transverse myelitis neurological disturbance.
一名患有系统性红斑狼疮的27岁女性因出现下肢运动和感觉麻痹、颈部僵硬及发热而入院。脑脊液检查提示为脑膜炎，磁共振成像显示胸9至胸12水平脊髓肿胀及高信号。抗生素治疗使脑膜刺激征消失。静脉注射环磷酰胺和泼尼松龙使横贯性脊髓炎所致神经功能障碍部分恢复。
