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Evaluation of vertebral artery involvement by Doppler sonography in patients with Behçet disease

Sevgi Taşolar1, Metin Doğan, Hakan Taşolar

  • 1Department of Radiology, Adiyaman University Training and Research Hospital, Hastane Caddesi, 02030 Adiyaman, Turkey. drsevgidemiroz@gmail.com.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|April 26, 2014
PubMed

Insights

Doppler sonography revealed significantly lower vertebral artery flow in Behçet disease patients, particularly those with neurologic involvement, aiding diagnosis and treatment.

Area of Science:

  • Vascular Medicine
  • Neurology
  • Rheumatology

Background:

  • Behçet disease frequently affects the vertebrobasilar system, leading to neurologic complications.
  • Understanding vertebral artery involvement is crucial for managing neuro-Behçet disease.

Purpose of the Study:

  • To investigate vertebral artery hemodynamics using Doppler sonography in Behçet disease patients.
  • To assess potential differences between Behçet disease patients with and without neurologic involvement.

Main Methods:

  • Doppler sonography of vertebral arteries was performed on 45 Behçet disease patients and 29 healthy controls.
  • Patients were categorized into three groups: Behçet disease without neurologic involvement, neuro-Behçet disease, and controls.
  • Hemodynamic parameters including volume flow, velocity, and indices were analyzed.

Main Results:

  • Significantly reduced total vertebral artery volume flow and lower peak systolic/end-diastolic velocities were observed in Behçet disease patients compared to controls.
  • Patients with neuro-Behçet disease showed trends towards lower volume flow and higher resistive/pulsatility indices in the left vertebral artery.
  • These alterations suggest vascular changes in the vertebral arteries associated with Behçet disease.

Conclusions:

  • Doppler sonography of vertebral arteries reveals significant hemodynamic alterations in Behçet disease.
  • These findings may contribute to the diagnostic and therapeutic management of Behçet disease, especially neuro-Behçet disease.
Abstract

Keywords:
Behçet diseaseDoppler sonographyneuro-Behçet diseaseneurologic involvementvascular ultrasoundvertebral artery involvement

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