Homonymous hemianopsia as the leading symptom of a tumor like demyelinating lesion: a case report

A case of relapsing–remitting tumour-like inflammation of the central nervous system

The case of a 37-year-old woman suffering from a relapsing–remitting tumefactive inflammatory disease of the central nervous system (CNS) is described. The patient had four severe relapses over eight years, and was treated with steroids, immunosuppression and plasma-exchange with modest benefit. No magnetic resonance imaging or cerebrospinal spinal fluid findings suggestive of multiple sclerosis emerged during the eight-year follow-up. ‘Relapsing–remitting tumefactive inflammation’ seems to have the features of a distinct inflammatory CNS disease.

Tumefactive demyelination associated with systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is a chronic inflammatory multi-system disease characterised by varied clinical manifestation and immunological abnormalities. The clinical presentation of the disorder has wide spectra, from an asymptomatic presentation to a severe life-threatening disease affecting several organs. The sole manifestation of lupus erythematosus could be neurological syndrome, where diagnosis of SLE is difficult to establish. The authors intended to report a young female, who initially developed left-sided hemiparesis due to tumefactive demyelination, later on diagnosed as case of SLE. The association of tumefactive demyelination and SLE has not been previously reported in the literature.