A case of systemic lupus erythematosus associated with spinal epidural hematoma

Shinji Satoh, Michito Hirakata, Hideto Kameda, Nobuaki Hama, Tadashi Yoshida, Tsuneyo Mimori, Masashi Akizuki, Yasuo Ikeda

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 47 year-old Japanese female who showed transverse myelopathy (TM) due to spinal epidual hematoma diagnoted by MRI in the course of systemic lupus erythematosus (SLE) was reported. She was admitted to Keio University Hospital due to paraplegia, anesthesia of lower extremity, urinary disturbance. Neurological examination revealed transverse disturbance of Th 10. Lumbar spinal cord MRI showed irregular mass that located at epidural region of 9 th-11 th thoratic vertebrae. When the laminectomy of 9 th-11 th thoratic vertebrae was performed, hematoma (4.5 cm × l.5 cm in size) was confirmed and removed completely. Post operative condition was stable and symptoms had been improving gradually. It has been reported that TM associated with SLE was closely related to myelitis. In this case, epidural hematoma was a major cause of TM and MRI was very useful for her diagnosis and treatment. This is the rare case of SLE associated with spinal epidural hematoma and was thought as a important case to consider the cause of neurological complication of SLE.

Original languageEnglish
Pages (from-to)166-171
Number of pages6
JournalJapanese Journal of Clinical Immunology
Volume21
Issue number4
DOIs
Publication statusPublished - 1998 Jan 1

Keywords

  • Spinal epidural hematoma
  • Systemic lupus erythematosus
  • Transverse myelitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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