[摘要]狼疮性脑病(NPSLE)是指系统性红斑狼疮(SLE)神经系统损害相关的神经、精神表现，它可发生于系统性红斑狼疮(SLE)的任何时期，甚至表现为SLE的首发症状。临床症状呈多样化，以头痛、昏迷、抽搐、颅神经麻痹及精神症状多见。也可表现为可逆性后部脑病(PRES)的发病形式。本文对以NPSLE为首发，同时并发PRES的红斑狼疮病例进行分析，并对其临床诊治作一探讨。

    [关键词]系统性红斑狼疮；可逆性后部白质脑病

    [中图分类号] R593.241 [文献标识码] A [文章编号] 1674-4721(2018)9(b)-0170-03

    [Abstract] Lupus erythematosus encephalopathy is a neurological and mental expression associated with nervous system damage in neuropsychiatric systemic lupus erythematosus (NPSLE). It can occur at any time in systemic lupus erythematosus and may even appear as the first symptom of SLE. The clinical symptoms vary ......