Fulminant Brain Atrophy and Vasculitis on Vessel-Wall Imaging in Neuropsychiatric Lupus: Case Report and Literature Review
Mihaela Ionela SARBU1, Nicolae SARBU2,3
1Saint Pierre University Hospital; Erasme Hospital, Rheumatology, Brussels, Belgium
2Department of Neuroradiology, Erasme Hospital, Brussels, Belgium
3Department of Neuroradiology, Faculty of Medicine, "Dunarea de Jos" University, Galati, Romania
Keywords: Magnetic resonance imaging, neuropsychiatric systemic lupus erythematosus, vasculitis
Brain atrophy, typically slowly progressive, is a hallmark of neuropsychiatric (NP) systemic lupus erythematosus (SLE). In this article, we report a case of a young female patient with previously diagnosed SLE, without known NPSLE, with abrupt neurological deterioration and rapidly progressive diffuse atrophy in a few months. A comprehensive diagnostic work-up and follow-up magnetic resonance imaging (MRI), including high-resolution advanced vessel-wall sequences, revealed underlying cerebral vasculitis. The novelty factors that the present report brings are the rapid progressive atrophy demonstrated on follow-up MRI in a patient with SLE, and the depiction of an underlying vasculitis on specific vessel-wall MRI techniques. We also reviewed the literature and discussed the main current applications of vessel-wall MRI sequences. The aim of the report is to recognize this dramatic form of presentation of NPSLE and the utility of the new MRI techniques for the diagnosis.