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A 34-year-old woman with a 3-year history of systemic lupus erythematosus was admitted to the hospital with sore throat and headache that had lasted for 3 weeks. She had been receiving cyclophosphamide for lupus nephritis for the previous 2 years. On the eighth hospital day, she reported severe headache and bilateral pain and bruising of the eyes. A day later, proptosis developed, with severe chemosis and eyelid edema, and her pupils were bilaterally nonreactive to light on examination. A preliminary diagnosis of extensive intracranial venous thrombosis was confirmed on magnetic resonance imaging. Axial T2-weighted imaging at the level of . . . [Full Text of this Article] |
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