Diplopia as the Initial Manifestation of Cerebral Vasculitis in a Patient with Systemic Lupus Erythematosus: Diagnostic Approach and Challenges

Authors

  • Audy Ariana
  • Awalia

DOI:

https://doi.org/10.37506/ijfmt.v16i1.17465

Keywords:

Cerebral vasculitis, diplopia, nerve VI palsy, systemic lupus erythematosus

Abstract

The term Neuropsychiatric systemic lupus erythematosus (NPSLE) encompasses all neurologic
and or psychologic symptoms arising in patients with SLE after other causes have been ruled out.
Cerebral vasculitis as a manifestation of NPSLE is a rare case with a very broad spectrum of clinical
presentation and severity. We report a case of a female with cerebral vasculitis presenting with diplopia
as its early manifestation. Diagnosing cerebral vasculitis remains challenging given that biopsy as the
gold standard is an invasive procedure and may not be available in many settings. A high suspicion of
diagnosis requires clinicians’ judgement in reviewing combination of detailed history taking, physical
examination, neuroimaging, and other available supporting modalities.

Author Biographies

Audy Ariana

Department of Internal Medicine, Airlangga University - dr. Soetomo Hospital, Surabaya, Indonesia

Awalia

Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, Airlangga University - dr. Soetomo Hospital, Surabaya, Indonesia

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Published

2021-11-30

How to Cite

Audy Ariana, & Awalia. (2021). Diplopia as the Initial Manifestation of Cerebral Vasculitis in a Patient with Systemic Lupus Erythematosus: Diagnostic Approach and Challenges. Indian Journal of Forensic Medicine & Toxicology, 16(1), 278–282. https://doi.org/10.37506/ijfmt.v16i1.17465