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Published on: February 22, 2013
Cerebral infarction in Behçet's syndrome caused by obliterative focal arteritis
1Behçet's Syndrome Centre of Excellence, Royal London Hospital, Whitechapel, London, E1 1BB, UK. desmond.kidd@nhs.net.
Insights
A rare case of cerebral infarction linked to Behcet's syndrome was diagnosed. The cause was identified as a progressive obliterative focal arteritis affecting the middle cerebral artery, a previously unreported entity.
Area of Science:
- Neurology
- Rheumatology
- Vascular Medicine
Background:
- Behcet's syndrome is a multisystemic vasculitis with diverse neurological manifestations.
- Cerebral infarction is a known but uncommon complication of Behcet's syndrome.
Observation:
- A patient presented with cerebral infarction.
- Diagnostic investigations revealed Behcet's syndrome.
Findings:
- The cerebral infarction was attributed to a progressive obliterative focal arteritis of the middle cerebral artery.
- This specific arterial involvement in Behcet's syndrome has not been previously documented.
Implications:
- This case expands the understanding of neurological complications in Behcet's syndrome.
- It highlights the importance of considering rare vascular pathologies in patients with Behcet's syndrome and stroke.
Abstract:
We present a case in which cerebral infarction was seen and Behcet's syndrome was diagnosed. Following investigation and monitoring, we identified that the cause was a progressive obliterative focal arteritis of the middle cerebral artery. Such an entity has not previously been reported, although similar cases are described which explain the pathophysiology of the disorder.
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