Abstract
We describe a patient with systemic lupus erythematosus who developed transverse myelitis and optic neuritis. Magnetic resonance imaging showed the presence of an abnormal signal in a normal-sized spinal cord which corresponded to the patient's neurologic deficit. No abnormality was recognized in either optic nerve. Magnetic resonance may prove to be a useful imaging modality for the diagnosis of a transverse myelopathy in systemic lupus erythematosus.
MeSH terms
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Adult
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Blindness / etiology
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Cyclophosphamide / therapeutic use
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Drug Therapy, Combination
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Female
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Humans
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Lupus Erythematosus, Systemic / complications*
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Lupus Erythematosus, Systemic / pathology
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Magnetic Resonance Spectroscopy*
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Methylprednisolone / therapeutic use
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Myelitis / etiology*
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Myelitis, Transverse / drug therapy
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Myelitis, Transverse / etiology*
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Myelitis, Transverse / pathology
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Optic Neuritis / etiology*
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Optic Neuritis / pathology
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Spinal Cord / pathology
Substances
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Cyclophosphamide
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Methylprednisolone