How do you approach new-onset idiopathic intracranial hypertension (IIH) with someone who has history of systemic lupus erythematosus?
1
2 AnswersMednet Member
Neurology · The University of Iowa
Since there is not a clinical recurrence of lupus, let's assume the disease is quiescent. The patient may have a clotting tendency so extra care should be taken in MRV interpretation. Does the MRV show the smooth-walled flow-related stenoses of intracranial hypertension or is it more consistent with...
Mednet Member
Rheumatology · Uniformed Services University of the Health Sciences (USUHS)
A case like this requires a multidisciplinary approach, especially due to its rarity in SLE patients (IIH due to severe transverse sinus stenosis, TSS).
I would consult neurology (e.g., Dr. @Dr. First Last who gives an excellent perspective from a neuro-path point of view) but also neurosurgery (for ...