A Rare Case of SLE Flaring-up as Acute Spinal Subarachnoid Hemorrhage and Acute Transverse Myelitis

Abstract

Systemic lupus erythematous (SLE) flaring-up as acute spinal subarachnoid hemorrhage (SSH) with acute transverse myelitis
at conus medullaris is a rare presentation among various demyelinating syndromes in SLE. Presented here is the case of a
47-year-old female, a known case of SLE, who presented with sudden back pain with abrupt onset of symmetrical weakness
of both lower limbs and double incontinence. MRI showed subarachnoid bleed with associated myelitis. The patient was
treated with prednisolone, mycophenolate mofetil and hydroxychloroquine and has been without any flares for 18 months.