|
KMID : 1103720210820051281
|
|
Journal of the Korean Society of Radiology
2021 Volume.82 No. 5 p.1281 ~ p.1286
|
|
|
A Case Report of Pontine Infarction as an Initial Manifestation of Systemic Lupus Erythematosus: Diagnostic Clues from MRI and Digital Subtraction Angiography
|
|
Chung Mi-Sun
Byun Jun-Soo
Yim Young-Hee
|
|
|
Abstract
|
|
|
|
Brainstem infarction due to vertebrobasilar insufficiency is a rare initial presentation of systemic lupus erythematosus (SLE) patients and small-vessel dissection as the direct cause of infarction has not been reported. We report the case of a 20-year-old female with acute infarction on the right side of the pons due to a small artery (pontine perforator) dissection, identified on digital subtraction angiography and high-resolution vessel wall MRI (vwMRI). She was diagnosed with SLE based on the presence of neurologic disorders and relevant laboratory findings. The pontine perforator-dissecting aneurysm had occluded and the right distal vertebral artery had resolved on subsequent vwMRI. She had a modified Rankin Scale (mRS) score of 1 at discharge with mild symptom improvement, and exhibited no further aggravation of symptoms at 3 or 12 months, maintaining an mRS score of 1.
|
|
|
KEYWORD
|
|
|
Stroke, Systemic Lupus Erythematosus, Dissecting Aneurysm, Magnetic Resonance Imaging, Digital Subtraction Angiography
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|