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Short report
Vasculitic polyradiculopathy in systemic lupus erythematosus
  1. Taresa L Stefuraka,
  2. Gyl Midronib,
  3. Juan M Bilbaoc
  1. aUniversity of Toronto, Canada, bDepartment of Neurology, cDepartment of Pathology, St Michael’s Hospital, 30 Bond Street, Toronto, Canada
  1. 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.

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.

  • polyradiculopathy
  • systemic lupus erythematosus
  • magnetic resonance imaging
  • vasculitis

https://doi.org/10.1136/jnnp.66.5.658

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