Skip to main content
. 2018 May 31;5:138. doi: 10.3389/fmed.2018.00138

Table 1.

Compression of different Neuropsychiatric (NP) criteria.

Kassan and Lockshin [22] How et al [24] 1999 NP ACR criteria [28, 29]
NP manifestations included
  1. Seizure

  2. Disturbance of consciousness

  3. Disturbance of mental function

  4. Neuropathy

  5. Motor disorder

  6. Movement disorder

  7. Meningitis

  8. Encephalitis

Major symptoms (seizures, focal motor or sensory deficits, generalized disturbances, psychosis and organic brain syndrome) Minor symptoms (paresthesia without objective findings, clumsiness without objective findings, persistent headache, pseudopapilledema, benign intracranial hypertension, reactive depression, mood swings, cognitive disorders, severe anxiety and behavioral problems) 12 CNS and 7 PNS (Table 2)
Definition of NP manifestations No Not given Yes
Exclusion criteria Infection,Trauma, neoplasm, and other independent neurologicdiseases Not given Individually listed for each of the 19 NP manifestations
Additional information Codification: Presence/absence of systemic disease activity; laboratory abnormalities; impairment of function and chronology Diagnosis of NPSLE: 1 major criterion; or 1 minor criterion plus abnormality shown on electroencephalogram, brain scan,CSF examination or cerebral angiogramFurther classified in focal and diffuse Comprehensive investigation protocol for each individual manifestation
Advantage Inclusion of function impairment and chronology Translational study exploring pathogenesis Comprehensive definitionValidated in different cohorts
Limitations No definitions of individual manifestationsNo validation Based on chart reviewNo validation in other cohorts or studies Lack of attribution; chronology

CNS, central nervous system; NP, neuropsychiatric; PNS, peripheral nervous system.