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Clinics and Practice
Volume 8
Issue 2
10.4081/cp.2018.1069
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Systemic Lupus Erythematosus Flare up as Acute Spinal Subarachnoid Hemorrhage with Bilateral Lower Limb Paralysis

by
Xiang Yang
1,
Seidu A. Richard
1,2,3,
Jiagang Liu
1,* and
Siqing Huang
1
1
Department of Neurosurgery, West China Hospital, Sichuan University, China
2
Department of Immunology, Jiangsu University, Jiangsu, China
3
Department of Surgery, Volta Regional Hospital, Ho, Ghana, West Africa
*
Author to whom correspondence should be addressed.
Clin. Pract. 2018, 8(2), 1069; https://doi.org/10.4081/cp.2018.1069
Submission received: 8 February 2017 / Revised: 6 March 2018 / Accepted: 3 April 2018 / Published: 10 May 2018

Abstract

Subarachnoid hemorrhage (SAH) is an uncommon complication of systemic lupus erythematosus (SLE). Solitary association of fatal spinal SAH as a complication of SLE, has not been encountered much in literature although coexisting acute cerebral and spinal SAH have been associated with SLE. We present a 39-year old female with initial diagnosis of SLE eight years ago who suddenly developed a productive cough, acute abdomen and paralysis of the lower limbs. Magnetic resonance imaging of the spine revealed thoracic spinal SAH with varying degrees of thoracic spinal cord compression. The hemorrhage was total evacuated via surgery. She regained normal function of her lower limbers after the operation with no further neurological complications. One of the rare but fatal complications of SLE is solitary spinal SAH without cranial involvement. The best and most appropriate management of this kind of presentation is surgical decompression of the hematoma with total hemostasis. The cause of hemorrhage should be identified intra-operatively and treated appropriately.
Keywords: subarachnoid hemorrhage; systemic lupus erythematosus; flare up; spinal; paralysis subarachnoid hemorrhage; systemic lupus erythematosus; flare up; spinal; paralysis

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MDPI and ACS Style

Yang, X.; Richard, S.A.; Liu, J.; Huang, S. Systemic Lupus Erythematosus Flare up as Acute Spinal Subarachnoid Hemorrhage with Bilateral Lower Limb Paralysis. Clin. Pract. 2018, 8, 1069. https://doi.org/10.4081/cp.2018.1069

AMA Style

Yang X, Richard SA, Liu J, Huang S. Systemic Lupus Erythematosus Flare up as Acute Spinal Subarachnoid Hemorrhage with Bilateral Lower Limb Paralysis. Clinics and Practice. 2018; 8(2):1069. https://doi.org/10.4081/cp.2018.1069

Chicago/Turabian Style

Yang, Xiang, Seidu A. Richard, Jiagang Liu, and Siqing Huang. 2018. "Systemic Lupus Erythematosus Flare up as Acute Spinal Subarachnoid Hemorrhage with Bilateral Lower Limb Paralysis" Clinics and Practice 8, no. 2: 1069. https://doi.org/10.4081/cp.2018.1069

APA Style

Yang, X., Richard, S. A., Liu, J., & Huang, S. (2018). Systemic Lupus Erythematosus Flare up as Acute Spinal Subarachnoid Hemorrhage with Bilateral Lower Limb Paralysis. Clinics and Practice, 8(2), 1069. https://doi.org/10.4081/cp.2018.1069

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