Cerebral Vasculitis in a Patient with SLE

A young woman aged 25 was admitted to the hospital with malar rash, swelling in the extremities and malaise. During hospitalizationshe showed change in mood and tonic clonic seizure. Brain MRI showed wide areas of signal changes in the frontal and parietal, cerebellar hemispheres, right middle cerebellar peduncle and right thalamus. There were also areas of restricted diffusion at DW images and ADC map at the right parietal. The differential diagnoses are SLE, MS, HSV, other vasculitis such as Behcet and polyarteritis nodosa (PAN), Susac's syndrome, lyme and small vessel vasculitis.