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[Behçet's diseases with multiple intracranial arterial aneurysms].
A Buge1, D Vincent, G Rancurel
1Clinique Neurologique, Hôpital de la Salpêtrière, Paris.
Revue Neurologique
|January 1, 1987
Summary
This case report details multiple intracranial arterial aneurysms in a patient with Behcet's disease. It highlights a rare complication of large artery involvement in this systemic vasculitis.
Area of Science:
- Neurology
- Vascular Medicine
- Rheumatology
Background:
- Behcet's disease is a chronic inflammatory disorder with multisystemic manifestations.
- Large artery involvement, including aneurysms, is a rare but serious complication.
- Intracranial aneurysms are particularly uncommon in the context of Behcet's disease.
Observation:
- A 43-year-old patient with an 8-year history of Behcet's disease presented with left hemiplegia.
- CT scan revealed an infarction in the right middle cerebral artery territory.
- Angiography identified multiple fusiform aneurysms in the intracranial right internal carotid, anterior, and middle cerebral arteries.
Findings:
- The patient exhibited typical Behcet's disease symptoms including polyarthritis, oral/scrotal ulcers, and hypersensitivity.
- Despite a remission period with corticosteroids, neurological complications arose.
- Angiography confirmed intracranial aneurysms and bilateral retinal artery aneurysms, with normal venous sinuses.
Implications:
- This case underscores the potential for rare vascular complications in Behcet's disease.
- It emphasizes the importance of comprehensive vascular imaging in affected patients presenting with neurological deficits.
- Further research into the pathogenesis and management of arterial aneurysms in Behcet's disease is warranted.