Syndrome cérébelleux isolé révélant un syndrome de Gougerot-Sjögren primaire

Azeroual, A.; Benomar, A.; Harmouche, H.; Daoudi, N.; Benhaddou, E.H. Ait; Yahyaoui, M.; Maaouni, A.

doi:10.1016/s0035-3787(07)78411-4

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“…Il s'agit chez notre patiente d'une forme avec atteinte encépha-lique, elle-même secondaire à une vasculopathie avec des troubles cognitifs importants compliquée de troubles de l'équilibre en rapport avec les lésions centrales. (1). Les lésions en hypersignal de la substance blanche à l'IRM sont la traduction de micro ou macroinfarctus céré-braux dus à des lésions de vascularites cérébrales.…”

Section: Discussionunclassified

Les manifestations neurologiques du syndrome de Gougerot et Sjögren : à propos d’un cas en Afrique noire

Belo

Sama

Nagbe

et al. 2015

Bull. Soc. Pathol. Exot.

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Primitive Gougerot-Sjögren syndrome (PGSS) is a systemic autoimmune exocrinopathy in which twenty percent of affected patients develop neurological manifestations. It has been little described in the Black African literature. We report a case of PGSS in a 64-year-old Black woman as revealed by neurological manifestations in an inflammatory context. Central neuropathy was present and the patient fulfilled at least four of the six Vitali American-European diagnostic criteria. There were abnormal aspects on the sylvian artery and hyperintense lesions of periventricular predominance. PGSS is a serious disease which we must consider when we encounter any unexplained neurological manifestations especially those associated with vasculitic lesions.

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Section: Discussionunclassified