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Lupus
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Hemiballismus in systemic lupus erythematosus: possible association with antiphospholipid antibodies

Lai-Shan Tam

Department of Medicine Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

Michael G Cohen

Centre of Bone and Joint Diseases, Sydney, Australia

Edmund K Li

Department of Medicine Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

The neuropsychiatric manifestations of systemic lupus erythematosus (SLE) are diverse but, among them, movement disorders are distinctly uncommon. We describe a 30-year-old female with SLE who developed sudden onset of right-sided hemiballismus. Previous cerebral venous thrombosis and a poor obstetric history suggested the antiphospholipid syndrome but only minimally elevated levels of anticardiolipin antibodies were detected. The underlying pathology could not be established but was most likely to have been a microinfarct of the contralateral subthalamic nucleus. Our patient responded rapidly to haloperidol alone without the requirement for corticosteroids.

Key Words: Movement disorders • Chorea • SLE • Haloperidol

Lupus, Vol. 4, No. 1, 67-69 (1995)
DOI: 10.1177/096120339500400114


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F. G. I. Jennekens and L. Kater
The central nervous system in systemic lupus erythematosus. Part 1. Clinical syndromes: a literature investigation
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[Abstract] [Full Text] [PDF]



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