BILAG Categories for Nervous System Manifestations of SLE

 

Patient selection: followup clinical assessment

 

Severe manifestations of nervous system involvement - any new or worse:

(1) impaired level of consciousness

(2) psychosis

(3) delirium or confusional state

(4) grand mal seizure

(5) stroke or stroke syndrome

(6) aseptic meningitis

(7) mononeuritis multiplex

(8) ascending or transverse myelitis

(9) peripheral or cranial neuropathy

(10) chorea

(11) cerebellar ataxia

 

Moderate manifestations of nervous system involvement - any new or worse:

(1) severe, unremitting headache

(2) organic depression

(3) chronic brain syndrome (pseudotumor cerebri, other)

(4) optic disc swelling on fundoscopic exam

(6) cytoid bodies (cotton wool spots) on fundoscopic exam

 

Moderate manifestations of nervous system involvement - any same or improving:

(1) impaired level of consciousness

(2) psychosis

(3) delirium or confusional state

(4) grand mal seizure

 

Mild manifestations of nervous system involvement:

(1) episodic migraine headaches - new or worse

 

Mild manifestations of nervous system involvement - any same or improving:

(1) stroke or stroke syndrome

(2) aseptic meningitis

(3) mononeuritis multiplex

(4) ascending or transverse myelitis

(5) peripheral or cranial neuropathy

(6) chorea

(7) cerebellar ataxia

(8) severe, unremitting headache

(9) organic depression

(10) chronic brain syndrome (pseudotumor cerebri, other)

(11) optic disc swelling on fundoscopic exam

(12) cytoid bodies (cotton wool spots) on fundoscopic exam

Severe	Moderate	Mild	Status	Category
any	NA	NA	current	A
none	any	NA	current	B
none	none	any	current	C
none	none	none	previous	D
none	none	none	never	E