Cerebellar vasculitis due to systemic lupus erythematosus and suboccipital decompression: case report

• Autores: Castro-Castillo, Elder, González-Quinteros, Paris
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Colegio Médico del Perú
• Repositorio: Acta Médica Peruana
• Lenguaje: español
• OAI Identifier: oai:amp.cmp.org.pe:article/2717
• Enlace del recurso: https://amp.cmp.org.pe/index.php/AMP/article/view/2717
• Nivel de acceso: acceso abierto
• Materia: Vasculitis por Lupus del Sistema Nervioso Central; Accidente Cerebrovascular; Descompresión; Lupus Vasculitis; Central Nervous System; Stroke; Decompression

Arterial vasculitis or cerebellar vasculitis in systemic lupus erythematosus (SLE) are extremely infrequent, and these might be included within cases of neuropsychiatric SLE (NPSLE), cerebellar stroke in SLE, and within the group of central nervous system vasculitis due to SLE. The addition of surgical management to this condition has been reported in few publications. We present the case of a 18- year old female patient with SLE, NPSLE, and cerebellar stroke, highly suspicious of inflammatory vasculitis affecting cerebellar arteries, in whom, in spite of medical management, suboccipital decompression was performed. Inflammatory vasculitis of cerebellar arteries in SLE is an infrequent cause of cerebellar stroke, and it has elevated mortality rates. There is limited scientific evidence with respect to suboccipital decompression for the management of this condition.