Daradkeh T K, Nasrallah N S
Department of Medicine, University of Jordan, Amman.
Pharmatherapeutica. 1987;5(2):142-4.
A 19-year old female with catatonia associated with multi-system involvement with systemic lupus erythematosus is described. There was no evidence of CNS involvement (negative CT scan, normal EEG, normal ice-caloric response, and normal CSF findings). The patient improved on large doses of steroids. It is suggested that cerebral lupus should be considered in the differential diagnosis of catatonia even in the absence of radiological and focal neurological signs when the active disease is present.
本文描述了一名19岁患有紧张症且多系统受累的系统性红斑狼疮女性患者。没有中枢神经系统受累的证据(CT扫描阴性、脑电图正常、冷热试验正常、脑脊液检查结果正常)。患者在大剂量使用类固醇后病情改善。提示即使在无放射学及局灶性神经系统体征的情况下,对于存在活动性疾病的紧张症患者,鉴别诊断时也应考虑脑型狼疮。