A member asked:

Wouldn't brain inflamm.show on brainmri? my mri normal.i get frequent debilitating lightheadedness&headaches. prednisone 10mg/day resolves it. have lupus.neg neuro exam

4 doctors weighed in across 2 answers
Dr. Stevan Cordas answered

Specializes in Internal Medicine

Lupus CNS: Mri may miss lupus cerbritis but better testing, such a functional mri, pet or spect scanning may well demonswtrate a problem if it is there.

Answered 10/3/2016

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Not necessarily.: Headaches are generally not a component of lupus unless they are secondary to high blood pressure. A normal MRI makes brain involvement in lupus less likely but does not completely rule it out. Evaluation of the spinal fluid is a better test if your rheumatologist thinks it is necessary.

Answered 6/10/2014

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