The Tohoku Journal of Experimental Medicine
Online ISSN : 1349-3329
Print ISSN : 0040-8727
ISSN-L : 0040-8727
Case
Sjögren’s Syndrome Presenting with Temporary Hemiplegia Mimicking Transient Ischemic Attack
Yukiko KamogawaKanae AkitaHiroko SatoTsuyoshi ShiraiTomonori IshiiHideo HarigaeHiroshi Fujii
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2022 Volume 258 Issue 3 Pages 207-211

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Abstract

Sjögren’s syndrome manifests with a wide variety of neurologic symptoms. This case report presents a 53-year-old woman with Sjögren’s syndrome associated with temporal hemiplegia, which was suspected to be a transient ischemic attack. After induction of immunosuppressive therapies [high-dose prednisolone (1 mg/kg/day) and intravenous cyclophosphamide (total 5 g)], the hemiplegia did not reappear and the blood flow abnormalities remarkably improved as depicted on electroencephalography and single photon emission computed tomography. This case suggests that temporal hemiplegia presenting with transient ischemia-like attack symptoms may be a neurologic manifestation of Sjögren’s syndrome and responsive to immunosuppressive therapy.

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© 2022 Tohoku University Medical Press

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