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Edward P. Fody, MD; Martin G. Netsky, MD; Robert E. Mrak, MD

Arch Neurol. 1980;37(3):173-174.

Abstract
• A 50-year-old woman with an 18-year history of systemic lupus erythematosus (SLE) died after an exacerbation of the illness, characterized by deteriorating mentation and right hemiplegia. Necropsy revealed massive spinal subarachnoid hemorrhage resulting from aneurysmal dilation and rupture of the posterior spinal artery, which was involved by vasculitis. The left parietal lobe and internal capsule contained recent infarcts. To our knowledge, this is the first reported case of SLE with spinal subarachnoid hemorrhage revealed by necropsy.

Author Affiliations
From the Department of Pathology, Vanderbilt University School of Medicine, Nashville, Tenn.

Footnotes
Accepted for publication March 10, 1979.

Read in part before the 67th annual meeting of the International Academy of Pathology, United States-Canadian Division, Atlanta, March 7, 1978.

Reprint requests to Department of Pathology, Vanderbilt University School of Medicine, 21st and Garland Streets, Nashville, TN 37232 (Dr Netsky).

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