A case of systemic lupus erythematosus associated with spinal epidural hematoma.

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  • Satoh Shinji
    Department of Internal Medicine, Keio University School of Medicine
  • Hirakata Michito
    Department of Internal Medicine, Keio University School of Medicine
  • Kameda Hideto
    Department of Internal Medicine, Keio University School of Medicine
  • Hama Nobuaki
    Department of Internal Medicine, Keio University School of Medicine
  • Yoshida Tadashi
    Department of Internal Medicine, Keio University School of Medicine
  • Mimori Tsuneyo
    Department of Internal Medicine, Keio University School of Medicine
  • Akizuki Masashi
    Division of Internal Medicine, Yokohama Municipal Hospital
  • Ikeda Yasuo
    Department of Internal Medicine, Keio University School of Medicine

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Other Title
  • 脊髄硬膜外血腫による横断性脊髄症を呈した全身性エリテマトーデス（ＳＬＥ）の１例

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A 47 year-old Japanese female who showed transverse myelopathy (TM) due to spinal epidual hematoma diagnoted by MRI in the course of systemic lupus erythematosus (SLE) was reported.<br> She was admitted to Keio University Hospital due to paraplegia, anesthesia of lower extremity, urinary disturbance. Neurological examination revealed transverse disturbance of Th 10. Lumbar spinal cord MRI showed irregular mass that located at epidural region of 9th-11th thoratic vertebrae. When the laminectomy of 9th-11th thoratic vertebrae was performed, hematoma (4.5cm×1.5cm in size) was confirmed and removed completely. Post operative condition was stable and symptoms had been improving gradually.<br> It has been reported that TM associated with SLE was closely related to myelitis. In this case, epidural hematoma was a major cause of TM and MRI was very useful for her diagnosis and treatment.<br> This is the rare case of SLE associated with spinal epidural hematoma and was thought as a important case to consider the cause of neurological complication of SLE.

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