What Is a Lupus Headache?
Lupus encephalopathy refers to the scope of systemic lupus erythematosus that can be combined with damage to the central nervous system and peripheral nervous system, among which the central nervous system's neurological and mental symptoms.
Lupus encephalopathy
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- Lupus encephalopathy refers to the scope of systemic lupus erythematosus that can be combined with damage to the central nervous system and peripheral nervous system, among which the central nervous system's neurological and mental symptoms.
- 8% to 16% of patients with SLE neurological manifestations of lupus encephalopathy have vascular disease. The pathogenesis of vasculitis is basically similar to immune vasculitis. The brain tissue, which is the lesion site, forms immune complexes and / or cells. Direct damage.
- 8% to 16% of patients with SLE neurological manifestations have vascular disease. The pathogenesis of vasculitis is basically similar to that of immune vasculitis.
- Lupus encephalopathy
The clinical features are:
Non-thrombotic nervous system lupus (characterized by vasculitis lesions) manifested as fever, disturbance of consciousness, headache, and seizures, neurological symptoms, and cerebrospinal inflammation symptoms within days and hours; if not treated, patients will Coma until death.
Thromboembolic vasculitis: The most common symptoms are transient ischemic attacks (TLA) or focal localized symptoms (hemiparesis, paresthesia or aphasia), and antiphospholipid antibodies appear in those with focal neurological symptoms Meaningful change.
(3) Bleeding: Some patients have a bleeding tendency. There are many reasons for bleeding, which may be bleeding after thrombosis, hypertensive bleeding, bleeding after uremia or treatment.
Lupus headache: Headache is a very common neuropsychiatric symptom of SLE, accounting for about 16% to 39% of patients with SLE, and sometimes the headache is very severe. Headaches can be caused by many factors, which may be vasculitis, hypertension, simple migraine, or muscle tension headache.
Seizures: Seizures have been significantly reduced since the 1950s due to active treatment of SLE and the use of anticonvulsants.
Dyskinesias (including chorea, lateral throwing movements, ataxia, tremor paralysis).
Paralysis: Myelopathy or acute polyradiculitis.
Encephalopathy Syndrome: The damage of SLE to the brain is multifaceted, so there can be a variety of manifestations of organic encephalopathy, such as cognitive dysfunction, emotional abnormalities, personality abnormalities, and dementia. Chronic encephalopathy syndrome is usually not a symptom of disease activity, but it is difficult to treat.
Neurological symptoms: Many patients with SLE will have some non-specific neurological symptoms, such as inattention, unclear thinking, depression, timidity, headache and other symptoms. There is no positive performance in neurological examination, but psychological tests can find cognition. Dysfunction.
Cognitive Impairment: Many people with lupus may have impaired thinking, talking, memory, and calculations, commonly known as cognitive dysfunction.
Pseudo-brain tumors and cerebral edema: Pseudo-brain tumors show benign intracranial pressure without symptoms of focal neurological deficits. Patients usually present with headache, optic disc edema, and no biochemical and immune abnormalities on CSF examination. Some patients are not treated well with western medicine. If they use Chinese medicine at the same time, they often get better results.