A case of systemic lupus erythematosus associated with spinal epidural hematoma

S. Satoh, Michito Hirakata, H. Kameda, N. Hama, Tadashi Yoshida, T. Mimori, M. Akizuki, Y. Ikeda

Research output: Contribution to journalArticle

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Abstract

A 47 year-old Japanese female who showed transverse myelopathy (TM) due to spinal epidural hematoma diagnosed 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 9th-11th thoracic vertebrae. When the laminectomy of 9th-11th thoracic vertebrae was performed, hematoma (4.5 cm x 1.5 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
JournalNihon Rinshō Men'eki Gakkai kaishi = Japanese journal of clinical immunology
Volume21
Issue number4
Publication statusPublished - 1998

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Spinal Epidural Hematoma
Systemic Lupus Erythematosus
Spinal Cord Diseases
Thoracic Vertebrae
Hematoma
Spinal Cord
Myelitis
Laminectomy
Paraplegia
Neurologic Examination
Lower Extremity
Anesthesia

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A case of systemic lupus erythematosus associated with spinal epidural hematoma. / Satoh, S.; Hirakata, Michito; Kameda, H.; Hama, N.; Yoshida, Tadashi; Mimori, T.; Akizuki, M.; Ikeda, Y.

In: Nihon Rinshō Men'eki Gakkai kaishi = Japanese journal of clinical immunology, Vol. 21, No. 4, 1998, p. 166-171.

Research output: Contribution to journalArticle

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AU - Satoh, S.

AU - Hirakata, Michito

AU - Kameda, H.

AU - Hama, N.

AU - Yoshida, Tadashi

AU - Mimori, T.

AU - Akizuki, M.

AU - Ikeda, Y.

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