Atanes Sandoval A, Sánchez Bursón J M, Graña Gil J, Martínez Muñiz A, Galdo Fernández F
Med Clin (Barc). 1989 Apr 22;92(15):577-9.
A female in whom systemic lupus erythematosus had been diagnosed 5 years before suddenly developed headache and recurrent vomiting. Cranial computed tomography (CT) was consistent with subarachnoid hemorrhage, and cerebral arteriography disclosed cerebral aneurysms, multiple microaneurysms and cerebral vasculitis. After 7 days she developed left hemiparesis, and a cerebral infarct area was apparent in a new CT scan. Despite the poor prognosis of these lesions, the patient had a favorable outcome, without residual neurological deficit, after having been treated with intravenous corticosteroid boluses and oral cyclophosphamide.
一名5年前被诊断患有系统性红斑狼疮的女性突然出现头痛和反复呕吐。头颅计算机断层扫描（CT）显示与蛛网膜下腔出血相符，脑血管造影显示有脑动脉瘤、多发性微动脉瘤和脑血管炎。7天后她出现左侧偏瘫，新的CT扫描显示有脑梗死区域。尽管这些病变预后不佳，但该患者在接受静脉注射大剂量皮质类固醇和口服环磷酰胺治疗后，获得了良好的结果，没有遗留神经功能缺损。
