Recurrent left ischemic stroke in a patient with systemic lupus erythematosus: A case report

被引：1

作者：

Aryal, Ananda ^{[1
]}

Aryal, Anita ^{[2
]}

Kshetri, Dipika ^{[2
]}

Karki, Sagun ^{[3
]}

Khadka, Sabina ^{[3
]}

机构：

[1] All Nepal Hosp, Kathmandu, Nepal

[2] Kathmandu Univ, Sch Med Sci, Dept Physiotherapy, Dhulikhel 45200, Nepal

[3] Nepalese Army Inst Hlth Sci, Coll Med, Kathmandu, Nepal

来源：

CLINICAL CASE REPORTS | 2023年 / 11卷 / 11期

关键词：

ischemia; MCA; physiotherapy; SLE; stroke; PREVENTION; BRAIN; RISK;

D O I：

10.1002/ccr3.8192

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Key Clinical MessageSome studies have manifested the relationship between SLE and stroke. Therefore, it is very important to pay close attention to the diagnosis of SLE in recurring stroke. In our case, her recurrent stroke attack might be due to the undiagnosed cause of SLE.AbstractAn ischemic stroke is a medical emergency condition which occurs when blood supply to part of the brain is blocked. Early action is needed; therefore, time is crucial. SLE is an autoimmune disease with multiple joint pain, fever, rashes, and organ damage. We report an old lady who was recently diagnosed with SLE with multiple stroke attack. Although she was diagnosed with SLE much later there was a suspicious about the possible mechanism for her recurrent ischemic stroke. She was given antiplatelet, antiepileptic, antihypertensive, and hydroxychloroquine medicines for the treatment. The neurological symptoms improved only after we provided physiotherapy.

引用

页数：5

共 18 条

[1]

Aringer M, 2019, ARTHRITIS RHEUMATOL, V71, P1400, DOI [10.1002/art.40930, 10.1136/annrheumdis-2018-214819]

[2] The Burden and Determinants of Non Communicable Diseases Risk Factors in Nepal: Findings from a Nationwide STEPS Survey [J].

Aryal, Krishna Kumar ;

Mehata, Suresh ;

Neupane, Sushhama ;

Vaidya, Abhinav ;

Dhimal, Meghnath ;

Dhakal, Purushottam ;

Rana, Sangeeta ;

Bhusal, Chop Lal ;

Lohani, Guna Raj ;

Paulin, Frank Herbert ;

Garg, Renu Madanlal ;

Guthold, Regina ;

Cowan, Melanie ;

Riley, Leanne Margaret ;

Karki, Khem Bahadur .

PLOS ONE, 2015, 10 (08)

[3]

Baigent C, 2002, BMJ-BRIT MED J, V324, P71, DOI 10.1136/bmj.324.7329.71

[4] Long-Term Risk of Myocardial Infarction Compared to Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke: Systematic Review and Meta-Analysis [J].

Boulanger, Marion ;

Bejot, Yannick ;

Rothwell, Peter M. ;

Touze, Emmanuel .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2018, 7 (02)

[5] World Stroke Organization (WSO): Global Stroke Fact Sheet 2022 [J].

Feigin, Valery L. ;

Brainin, Michael ;

Norrving, Bo ;

Martins, Sheila ;

Sacco, Ralph L. ;

Hacke, Werner ;

Fisher, Marc ;

Pandian, Jeyaraj ;

Lindsay, Patrice .

INTERNATIONAL JOURNAL OF STROKE, 2022, 17 (01) :18-29

[6] Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019 [J].

Feigin, Valery L. ;

Stark, Benjamin A. ;

Johnson, Catherine Owens ;

Roth, Gregory A. ;

Bisignano, Catherine ;

Abady, Gdiom Gebreheat ;

Abbasifard, Mitra ;

Abbasi-Kangevari, Mohsen ;

Abd-Allah, Foad ;

Abedi, Vida ;

Abualhasan, Ahmed ;

Abu-Rmeileh, Niveen Me ;

Abushouk, Abdelrahman, I ;

Adebayo, Oladimeji M. ;

Agarwal, Gina ;

Agasthi, Pradyumna ;

Ahinkorah, Bright Opoku ;

Ahmad, Sohail ;

Ahmadi, Sepideh ;

Salih, Yusra Ahmed ;

Aji, Budi ;

Akbarpour, Samaneh ;

Akinyemi, Rufus Olusola ;

Al Hamad, Hanadi ;

Alahdab, Fares ;

Alif, Sheikh Mohammad ;

Alipour, Vahid ;

Aljunid, Syed Mohamed ;

Almustanyir, Sami ;

Al-Raddadi, Rajaa M. ;

Salman, Rustam Al-Shahi ;

Alvis-Guzman, Nelson ;

Ancuceanu, Robert ;

Anderlini, Deanna ;

Anderson, Jason A. ;

Ansar, Adnan ;

Antonazzo, Ippazio Cosimo ;

Arabloo, Jalal ;

Arnlov, Johan ;

Artanti, Kurnia Dwi ;

Aryan, Zahra ;

Asgari, Samaneh ;

Ashraf, Tahira ;

Athar, Mohammad ;

Atreya, Alok ;

Ausloos, Marcel ;

Baig, Atif Amin ;

Baltatu, Ovidiu Constantin ;

Banach, Maciej ;

Barboza, Miguel A. .

LANCET NEUROLOGY, 2021, 20 (10) :795-820

[7] Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The GBD 2013 Study [J].

Feigin, Valery L. ;

Krishnamurthi, Rita V. ;

Parmar, Priya ;

Norrving, Bo ;

Mensah, George A. ;

Bennett, Derrick A. ;

Barker-Collo, Suzanne ;

Moran, Andrew E. ;

Sacco, Ralph L. ;

Truelsen, Thomas ;

Davis, Stephen ;

Pandian, Jeyaraj Durai ;

Naghavi, Mohsen ;

Forouzanfar, Mohammad H. ;

Nguyen, Grant ;

Johnson, Catherine O. ;

Vos, Theo ;

Meretoja, Atte ;

Murray, Christopher J. L. ;

Roth, Gregory A. ;

Abd-Allah, Foad ;

Abera, Semaw Ferede ;

Akinyemi, Rufus Olusola ;

Salman, Rustam Al-Shahi ;

Anderson, Craig S. ;

Bahit, Maria Cecilia ;

Banerjee, Amitava ;

Basu, Sanjay ;

Beauchamp, Norman J. ;

Bornstein, Natan M. ;

Brainin, Michael ;

Cabral, Norberto Luiz ;

Campos-Nonato, Ismael ;

Caso, Valeria ;

Catala-Lopez, Ferrán ;

Chowdhury, Rajiv ;

Christensen, Hanne K. ;

Connor, Myles D. ;

deVeber, Gabrielle ;

Dharmaratne, Samath D. ;

Dokova, Klara ;

Donnan, Geoffrey ;

Endres, Matthias ;

Fernandes, Jefferson Gomes ;

Gankpe, Fortune ;

Geleijnse, Johanna M. ;

Gillium, Richard F. ;

Giroud, Maurice ;

Hamadeh, Randah R. ;

Hankey, Graeme J. .

NEUROEPIDEMIOLOGY, 2015, 45 (03) :161-176

[8] FREQUENCY, ETIOLOGY, AND PREVENTION OF STROKE IN PATIENTS WITH SYSTEMIC LUPUS-ERYTHEMATOSUS [J].

FUTRELL, N ;

MILLIKAN, C .

STROKE, 1989, 20 (05) :583-591

[9]

Ioannidis Stefanos, 2018, eNeurologicalSci, V13, P26, DOI [10.1016/j.ensci.2018.11.001, 10.1016/j.ensci.2018.11.001]

[10]

Justiz Vaillant A. A, 2023, StatPearls

← 1 2 →