Abstract

THERE HAVE BEEN several documented reports of reversible cerebral radiologic abnormalities in the past. Most of the affected patients had partial or generalized seizures after a febrile illness or hypertensive encephalopathy. In the previous case reports, the patients involved had few if any neurologic deficits. To date, there has been only one case report of transient thalamic hypodensity in systemic lupus erythematosus with generalized seizures. We describe a case of reversible bilateral hypodensities in the thalamus and basal ganglia associated with profound neurologic deficits in a patient with SLE and generalized convulsions.