 |
|
Brain Calcifications in Systemic Sclerosis
Arch Neurol. 2002;59:1642-1643.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
A 50-YEAR-OLD woman diagnosed with scleroderma by positive anticentromere
antibodies, Raynaud phenomenon, and acral skin changes with a history of interstitial
lung disease and hypertension was admitted to the hospital with worsening
dyspnea and hemoptysis. The patient had a difficult hospital course with persistent
hypertension, prolonged mechanical ventilation requiring sedation, and dialysis
for renal failure. Following discontinuation of sedation, she was less responsive.
The neurologic examination findings revealed roving eye movements, reactive
pupils, spontaneous blink but not to threat, and right-sided gaze preference.
There was weak withdrawal to noxious stimuli on the left side but no response
on the right side. She was globally aphasic and remained lethargic. Findings
from a workup for cause of stroke were negative. Computed tomography of the
head revealed brain calcifications that appeared chronic and were thought
to be related to systemic sclerosis.
The computed tomographic scan of the head showed extensive gyral calcifications
in . . . [Full Text of this Article] COMMENT
|
