Hi Susie and welcome,
I have a diagnosis of CNS Vasculitis and also Dystonia from the Lupus. I had many symptoms that went along with this including seizures and mini strokes, unbelievable headaches etc. It's currently controlled pretty well with Imuran - I also take other meds which help control the overall SLE diagnosis.
Nowadays they usually call Cerebritis NPSLE (Neuro-Psychiatric Systemic Lupus Erythematosis) - you can see why NPSLE has been adopted as the short form :wink2:
Most people with NPSLE will be treated with steroids in the short term and to get the initial alarming and potentially damaging symptoms under control. Their long term treatment in actually controlling the disease is picked from several Immunesuppressant medications, Imuran (Azathioprine), Cellcept (Myclophenate Mofatil), Cyclophosphamide via IV infusions for a period of time, and some have had benefit from a newer sort of treatment called Rituxan (Rituximab) also given by IV infusion.
So you see there are many treatments available and they are aimed at getting the disease process under control, rather than just treating the initial inflammation which is what steroids do. Quality of life is improved by this method and often people go into a sort of drug induced remission from the Immunosuppressants. That's where I consider my CNS problems are right now apart from if I go into a flare then it's pretty well controlled, even with a flare it's nowhere near as dangerous or damaging as it was. I still have damage on MRA scans showing but no new damage, I rarely seize these days although I do still have evidence of the dystonia but it's pretty mild as opposed to what it was.
Do you also have a diagnosis of APS (antiphosholipid syndrome - aka sticky blood)? Just asking because of the migraines and some of the symptoms and problems are similar to NPSLE but it's much more easily treated in the vast majority of cases.
Hope you gain much from the site and anything else we can help you with we will try.
love
Lily