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NEUROLOGY 1987;37:1596
© 1987 American Academy of Neurology

Cerebral blood flow in systemic lupus erythematosus with or without cerebral complications

M. J. Kushner, MD, J. Chawluk, MD, F. Fazekas, MD, B. Mandell, MD, PhD, A. Burke, MD, J. Jaggi, PhD, M. Rosen, PhD and M. Reivich, MD

From the Cerebrovascular Research Center, the Departments of Neurology (Drs. Kushner, Chawluk, Fazekas, Burke, Jaggi, Rosen, and Reivich) and Medicine (Dr. Mandell), University of Pennsylvania, Philadelphia, PA.

We measured mean cerebral blood flow (CBF) in 25 lupus patients using the xenon-133 method. The CBF was normal in lupus patients without cerebral disease and also in CNS lupus patients in remission. The CBF was lower than normal during bouts of cerebral lupus (p < 0.001). Repeat studies showed a stereotyped pattern consisting of depressed CBF during exacerbation of CNS disease and normalization of CBF during remission (p < 0.01). These results show that CBF is a sensitive indicator of activity of CNS disease and that the direction of change in CBF reflects the clinical course of CNS lupus.

Address correspondence and reprint requests to Dr. Kushner, Cerebrovascular Research Center, Room 429 Johnson Pavilion, 36th and Hamilton Walk, University of Pennsylvania, Philadelphia, PA 19104.

Dr. Kushner is the recipient of Clinical Investigator Development Award 1KO8 NS00999-02.

Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1985.

Received October 31, 1986. Accepted for publication in final form January 14, 1987.




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