| Longitudinal myelitis, aseptic meningitis, and conus medullaris infarction as presenting manifestations of pediatric systemic lupus erythematosus. | |
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MedLine Citation:
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PMID: 18413416 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A healthy boy developed subacutely progressive quadriparesis, complicated by sudden paraplegia, fever, and meningeal signs, diagnosed as longitudinal myelitis, aseptic meningitis, and conus medullaris infarction and identified as the presenting manifestations of neuropsychiatric systemic lupus erythematosus. Rapid expansion of the conus on serial neuroimaging led to emergent decompressive laminectomy and cord biopsy showing vasculitis and cord infarction. The patient had partial recovery after treatment with high-dose steroids. Increased vigilance is required when pediatric patients develop a similar subacute presentation on the ground of active systemic lupus erythematosus because it may herald the onset of a catastrophic neurological syndrome. |
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Authors:
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A M Katramados; R Rabah; M D Adams; A H M M Huq; P D Mitsias |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Lupus Volume: 17 ISSN: 0961-2033 ISO Abbreviation: Lupus Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-16 Completed Date: 2008-09-19 Revised Date: 2011-03-11 |
Medline Journal Info:
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Nlm Unique ID: 9204265 Medline TA: Lupus Country: England |
Other Details:
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Languages: eng Pagination: 332-6 Citation Subset: IM |
Affiliation:
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Department of Neurology, Henry Ford Hospital, Detroit, Michigan 48202, USA. angelo@neuro.hfh.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Follow-Up Studies Humans Infarction / diagnosis, etiology*, surgery Laminectomy Lupus Erythematosus, Systemic / complications*, diagnosis Magnetic Resonance Imaging Male Meningitis, Aseptic / diagnosis, etiology* Myelitis / diagnosis, etiology* Spinal Cord / blood supply* Spinal Cord Compression / complications*, diagnosis, surgery Thoracic Vertebrae |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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