Statistics from Altmetric.com
A 16-year-old girl with systemic lupus erythematosus (SLE) nephritis was started on pulse methylprednisolone and monthly cyclophosphamide infusion. She was already on antihypertensive for border line hypertension (130/80–140/90 mm Hg). On day 4 of treatment she suddenly started complaining of headache and subtle neurological symptoms including disorientation, blurred vision and motor apraxia. This was followed by a brief episode of generalised fit. Apart from being in post-ictal aura her gross neurological examination including fundoscopy was unremarkable. Her blood pressure around this episode was 150/80–160/90 mm Hg. Serum electrolytes and calcium were within normal range.
Urgent neuroimaging was arranged. Axial fluid-attenuated …
Competing interests: None declared
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.