alexa A pachymeningitis as an unusual cause of headache in sy

Lupus: Open Access
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Case Report

A pachymeningitis as an unusual cause of headache in systemic lupus erythematosus

Thara Larbi1*, Saloua B’chir Hamzaoui1, Maroua Mrouki1, Amira Manamani2, Amira Ouni1, Kamel Bouslama1, Skander M’rad1

1Department of internal medicine, Mongi Slim Hospital, La Marsa, Tunisia

2Department of Radiology, Mongi Slim Hospital, La Marsa, Tunisia

*Corresponding Author:
Thara Larbi
Department of internal medicine
Mongi Slim Hospital, La Marsa
Tunis Tunisia
Tel: 00 216 70 109 181
E-mail: [email protected]

Received date: December 04, 2015; Accepted date: December 15, 2015 Published date: January 22, 2015

Citation: Thara Larbi, Saloua B’chir Hamzaoui, Maroua Mrouki, Amira Manamani, Amira Ouni, Kamel Bouslama, Skander M’rad (2016) A pachymeningitis as an unusual cause of headache in systemic lupus erythematosus. Lupus Open Access 1:106.

Copyright: © 2016 Thara Larbi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

We report a case of systemic lupus erythematosus (SLE) complicated by hypertrophic pachymeningitis (HP) four year after the onset of SLE. A 25-year-old woman with a previous diagnosis of SLE was admitted for severe headaches and vomiting without signs of meningeal irritation or papilloedema on fundus examination. Brain magnetic resonance imaging showed diffuse thikening of the dura matter with hyperintense signal on fluidattenuated inversion recovery sequence and gadolinium contrast enhancement. There was no sinus thrombosis on MR venography. Both clinical symptoms and imaging findings improved after steroid therapy

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