Fox I S, Spence A M, Wheelis R F, Healey L A
Neurology. 1980 May;30(5):487-91. doi: 10.1212/wnl.30.5.487.
Left homonymous hemianopia, hemiparesis, left-body clonic seizures, and progressive deterioration of consciousness complicated the clinical course of a 57-year-old woman with systemic lupus erythematosus (SLE). Autopsy documented the presence of multiple brain infarcts and cerebral arterial emboli that originated from the verrucae of Libman-Sacks endocarditis. Clinicians and pathologists should consider this unusual vascular mechanism of cerebral injury in patients with SLE who develop strokes.
一名57岁的系统性红斑狼疮（SLE）女性患者的临床病程中出现了左侧同向性偏盲、偏瘫、左侧肢体阵挛性癫痫发作以及意识进行性恶化。尸检记录显示存在多处脑梗死和脑动脉栓塞，这些栓塞起源于Libman-Sacks心内膜炎的疣状赘生物。临床医生和病理学家应考虑在发生中风的SLE患者中存在这种不寻常的脑损伤血管机制。
