Hassan Mumtaz, Salwa Anis, Qazi Muhammad Waleed, Nabeel Raza, Tehreem Fatima, Ahsan Shafiq,
The reported prevalence of systemic lupus erythematosus (SLE) in the general population is 20-150 cases per 100,000 population. The female to male ratio ranges from 7-15:1. An estrogen effect has been suggested by a number of observations for this difference. Presenting a case of subarachnoid haemorrhage that was labelled as lupus cerebritis but the delay in presenting to the hospital caused the patient to suffer leading to death. A vigilent eye of the physician is required to maintain a strong index of suspicion, as it is generally missed and patients land up at late stages, which is invariably fatal.