Vertical gaze palsy and intraoral numbness in a patient with neuro-psychiatric systemic lupus erythematosus: A case report and literature review

被引：3

作者：

Fung, Kin Fen Kevin ^{[1
]}

Chan, Eugene Yu-hin ^{[2
]}

Ma, Alison Lap-tak ^{[2
]}

Yeung, Wai-lan ^{[3
]}

Lai, Wai-ming ^{[2
]}

Kan, Elaine Yee-ling ^{[1
]}

机构：

[1] Hong Kong Childrens Hosp, Dept Radiol, Kowloon, 2-F,Block B, Hong Kong, Peoples R China

[2] Hong Kong Childrens Hosp, Dept Paediat, Paediat Nephrol Ctr, Kowloon, Hong Kong, Peoples R China

[3] Hong Kong Childrens Hosp, Dept Paediat, Paediat Neurol Team, Kowloon, Hong Kong, Peoples R China

来源：

LUPUS | 2020年 / 29卷 / 13期

关键词：

Systemic lupus erythematosus; gaze palsy; neuropsychiatric lupus; MANIFESTATIONS;

D O I：

10.1177/0961203320950025

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report, to the best of our knowledge, the first case of neuropsychiatric systemic lupus erythematosus with clinical presentation of bilateral upward gaze palsy and intraoral numbness. Magnetic resonance imaging of the brain was able to identify the pathogenic lesion at the left side of midbrain, involving the vertical gaze center and sensory pathways for innervating the buccal and hard palate mucosa. A course of aggressive immunosuppressive treatment resulted in prompt resolution of gaze palsy and the midbrain lesion.

引用

页码：1811 / 1814

页数：4

共 9 条

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