Vasculitic polyradiculopathy in systemic lupus erythematosus
- aUniversity of Toronto, Canada, bDepartment of Neurology, cDepartment of Pathology, St Michael’s Hospital, 30 Bond Street, Toronto, Canada
- Dr G Midroni, Neurophysiology laboratory, St. Michael’s Hospital, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8. Telephone 00416 864 5193; fax 00416 864 6095.
- Received 12 May 1998
- Revised 15 September 1998
- Accepted 3 November 1998
Abstract
A 22 year old woman with recently diagnosed systemic lupus erythematosus presented with subacute progressive areflexic paraparesis, electrophysiologically identified as a pure axonal polyradiculopathy. Sural nerve biopsy disclosed necrotising vasculitis. A striking radiological feature was marked enhancement of the cauda equina with gadolinium.
