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Published on: January 27, 2015
Dural Arteriovenous Fistula in Neuro-Behçet's Disease: Association or Chance?
Yuka Nakaya1, Koji Hayashi1, Norichika Hashimoto2
1Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Insights
Behçet's disease (BD), a vasculitis disorder, can manifest neurologically (NBD). This case highlights a rare dural arteriovenous fistula (dAVF) in NBD, prompting discussion on their potential association.
Area of Science:
- Neurology
- Vascular Medicine
- Rheumatology
Background:
- Behçet's disease (BD) is a multisystemic vasculitis.
- Neuro-Behçet's disease (NBD) involves neurological complications of BD.
- Dural arteriovenous fistulas (dAVFs) are not commonly associated with BD.
Observation:
- A 48-year-old male with NBD presented with headache and fever.
- Imaging revealed a dural arteriovenous fistula (dAVF) in this patient.
- The patient received medical treatment (prednisolone, colchicine) and surgical dAVF resection.
Findings:
- This case presents a rare instance of dAVF in the context of NBD.
- The co-occurrence raises questions about a potential link between BD and dAVF.
- Literature review was conducted to explore this association.
Implications:
- Further research is needed to clarify the relationship between Behçet's disease and dural arteriovenous fistulas.
- Understanding this association may improve diagnostic and treatment strategies for NBD patients.
- This case contributes to the literature on rare vascular manifestations of Behçet's disease.
Abstract:
Behçet's disease (BD) is a multisystemic vasculitis disorder. Neuro-Behçet's disease (NBD) is a set of neurologic symptoms imputable to an underlying Behçet vasculitis. Among the wide range of vascular abnormalities secondary to BD, a dural arteriovenous fistula (dAVF) is not classically described. Whether a dAVF is associated with BD or dAVF is a chance occurrence is still a matter of debate. Herein, we describe an NBD case of a 48-year-old male, presenting with headache and fever, where a dAVF was seen on imaging. He was treated with prednisolone and colchicine, followed by the surgical resection for dAVF. Then, we discuss the possible association between BD and dAVF based on the latest literature.
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