患者 女,27岁。25岁分娩后1个月即出现关节痛、肿胀,面颊部红斑,脱发,低热。并有贫血,血小板降低,抗核抗体(ANA)1:320,抗DNA抗体43％。骨髓内找到狼疮细胞。尿常规及肾功能检查正常,有心包积液。诊断为SLE。经肾上腺皮质激素治疗后,症状好转。1年半后患者又出现面颊部红斑,双目视物模糊,左侧上下肢麻木伴无力,不能行走,体温升高,癫痫大发作。腰穿脑脊液压力为150mmH_2O,蛋白定量40mg/dl。头颅CT发现:双额颞顶枕叶大片低密度区,边界清楚,以白质为主,右 Female patient, 27 years old. Joint pain, swelling, cheek erythema, alopecia, hypothermia occur 25 months after birth. And anemia, thrombocytopenia, antinuclear antibody (ANA) 1: 320, anti-DNA antibody 43%. Lupus cells found in the bone marrow. Urine routine and renal function tests were normal, pericardial effusion. Diagnosed as SLE. After adrenal cortex hormone treatment, the symptoms improved. One and a half years later, the patient presented erythema of cheeks, blurred binocular vision, numbness of upper and lower limbs with weakness on the left side, unable to walk, temperature increase and epileptic seizures. Lumbar wear cerebrospinal fluid pressure 150mmH_2O, protein 40mg / dl. Head CT found: double frontal large temporal lobe of low-density occipital lobe, border clear to white matter-based, right