Freitas M R, Moreira Filho P F, Cincinatus D, Rodrigues T R
Arq Neuropsiquiatr. 1978 Mar;36(1):72-5. doi: 10.1590/s0004-282x1978000100008.
The case of a young female patient with hemiplegia and aphasia of sudden onset as the initial manifestation of systemic lupus erythematosus is reported. The arteriographic study showed occlusion of the proximal portion of the left anterior cerebral artery and of the trifurcation of the left middle cerebral artery. The neurological manifestations in systemic lupus erythematosus may appear before there is any clinical evidence of involvement of others organs. The authors think that systemic lupus erythematosus should be suspected in every young female patient with acute cerebrovascular accident of unknown etiology.
报告了一例以偏瘫和失语突然起病为系统性红斑狼疮首发表现的年轻女性患者。血管造影研究显示左大脑前动脉近端和左大脑中动脉三叉处闭塞。系统性红斑狼疮的神经学表现可能在其他器官受累的任何临床证据出现之前就已出现。作者认为，每一位病因不明的急性脑血管意外年轻女性患者都应怀疑患有系统性红斑狼疮。
