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Point –of-care ultrasound diagnosis in seizures – A case report

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Background

Systemic lupus erythematosus is a autoimmune disease that can affect any part of the body.

Seizure is a usual presentation at Emergency Department but systemic lupus erythematosus is a rare presentation.

We report a 21 years young women case present to Emergency Department with five seizures on the night. She was diagnosed two years ago with systemic lupus erythematosus and she was two weeks after caesarian surgery. She was confused and with right hemiparesis and Babinski sign. She had peripheral edema.

Methods

We used point-of-care ultrasound to evaluate this young women.

We want to evaluate brain edema and we measured the optic nerve.

Results

We find left and right optic nerve dimension 4.3 mm. We find bilateral pleural effusion, pericardial and abdominal effusion.

Conclusion

Point-of-care ultrasound is a rapid and helpful tool in evaluation of the severity of systemic lupus erythematosus

The enlarged of optic sheath, 4.3 mm is not associate with brain edema on computed tomography.

References

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    Lichtenstein D: Whole body ultrasonography in the critically ill. 2010, 245–247.

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    Noble V, Nelson B, Sutingco N: Manual of emergency and critical care ultrasound. 2007, 175–181.

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    Victor M, Ropper A: Principles of neurology. 2001, 909.

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    Şerban V, Babeş P: Clinică medicală, teorie şi practică. 1999, 255–274.

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Author information

Correspondence to Monica Puticiu.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Systemic Lupus Erythematosus
  • Emergency Department
  • Autoimmune Disease
  • Young Woman
  • Optic Nerve