Lupus Cerebellitis Presenting With Ataxia: A Case Report

2021 ◽  
pp. 194187442110212
Author(s):  
Tyler J. Kristoff ◽  
Aaron Shoskes ◽  
Benjamin Claytor

We report a case of a woman with a history of systemic lupus erythematosus who developed persistent ataxia and was diagnosis with lupus cerebellitis. Magnetic resonance imaging of the brain showed T2/FLAIR signal hyperintensity within the cerebellar vermis without mass effect. The patient’s condition improved with pulse IV methylprednisolone. This case highlights unique imaging findings within the cerebellum, our diagnostic and treatment regimen, and compares this case to previous literature on similar cases.

1997 ◽  
Vol 40 (1) ◽  
pp. 36-46 ◽  
Author(s):  
R. J. S. Chinn ◽  
I. D. Wilkinson ◽  
M. A. Hall-Craggs ◽  
M. N. J. Paley ◽  
E. Shortall ◽  
...  

Rheumatology ◽  
1995 ◽  
Vol 34 (11) ◽  
pp. 1055-1060 ◽  
Author(s):  
M. R. GONZALEZ-CRESPO ◽  
F. J. BLANCO ◽  
A. RAMOS ◽  
E. CIRUELO ◽  
I. MATEO ◽  
...  

2008 ◽  
Vol 122 (12) ◽  
pp. 1371-1376 ◽  
Author(s):  
N A Khalidi ◽  
R Rebello ◽  
D D Robertson

AbstractObjectives:We present a case of systemic lupus erythematosus with symptomatic sensorineural hearing loss which was successfully treated with azathioprine, as assessed both clinically and radiologically. We also present a review of the relevant literature.Case report:A woman with systemic lupus erythematosus presented with sensorineural hearing loss, initially on the right and subsequently developing on the left over several months. An audiogram revealed profound neurosensory hearing loss bilaterally. The patient was treated with prednisone 60 mg daily and azathioprine 200 mg daily. An improvement on the left was noted on follow-up audiography as well as on magnetic resonance imaging of the internal auditory canals and surrounding structures.Conclusion:Sensorineural hearing loss has been described in autoimmune disorders but is rare. Aural symptoms have been described, with varying incidences (0–57.5 per cent), in systemic lupus erythematosus. However, symptomatic sensorineural hearing loss is rare in systemic lupus erythematosus. Prednisone appears essential when an immunological or vasculitic cause is found. The use of azathioprine should be considered, as well as follow-up with magnetic resonance imaging to detect improvement.


Sign in / Sign up

Export Citation Format

Share Document