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© 1989 British Society for Rheumatology

case-report

ANTERIOR SPINAL ARTERY SYNDROME IN SYSTEMIC LUPUS ERYTHEMATOSUS

H. M. MARKUSSE*,, J. HAANT{dagger}, W. D. TAN* and F. C. BREEDVELD

*Department of Rheumatology, University Hospital Leiden
{dagger}Department of Neurology, University Hospital Leiden

Correspondence to: Correspondence to Dr. Markusse, Department of Rheumatology, University Hospital Leiden, Rijnsburgerweg 10, 2333 AA Leiden, The Netherlands

We present a patient with systemic lupus erythematosus who developed an anterior spinal artery syndrome (ASAS) in association with Livedo reticularis, leg ulcerations and thrombocytopenia. Low serum titres of anticardiolipin antibodies were detectable throughout the course of this disease. The patient recovered from the first episode of ASAS under corticosteroid treatment but remained paralytic after a second episode. Repeated magnetic resonance imaging of the spinal cord failed to show altered signal intensity.

KEY WORDS: Myelopathy, Paraparesis, Dissociated sensory impairment, Livedo reticularis, Thrombocytopenia, Magnetic resonance imaging (MRI)


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