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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
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Behçet's disease: recurrent ischemic stroke as an initial presentation - a case based review.
Anwar Albasri1, Wesam Gouda2,3, Faisal Alsaqabi1
1Rheumatology Unit, Al-Sabah Hospital, Shuwaikh Industrial, Kuwait.
The Journal of International Medical Research
|January 29, 2025
Summary
Behçet
Area of Science:
- Neurology
- Rheumatology
- Vascular Medicine
Background:
- Behçet's disease (BD) is a rare systemic vasculitis.
- Neurological involvement, including ischemic stroke, is an uncommon complication of BD.
- Diagnosing BD can be challenging, especially when ischemic stroke is the initial presentation.
Purpose of the Study:
- To report a case of recurrent ischemic stroke as the first manifestation of Behçet's disease in a young woman.
- To highlight the diagnostic challenges and emphasize the importance of a multidisciplinary approach in managing such cases.
- To review the literature on stroke as the initial presentation of BD.
Main Methods:
- Case report of a 37-year-old Kuwaiti woman with recurrent ischemic stroke.
- Diagnostic workup included magnetic resonance imaging and angiography.
- Treatment involved high-dose corticosteroids, azathioprine, and antiplatelet therapy.
Main Results:
- Recurrent ischemic stroke was confirmed in a patient with no traditional risk factors.
- Underlying vasculitic changes consistent with Behçet's disease were identified.
- The patient's condition was effectively managed with a combination of immunosuppressants and antiplatelet agents, preventing further thrombotic events.
Conclusions:
- Ischemic stroke can be the initial and sole manifestation of Behçet's disease.
- A high index of suspicion and a multidisciplinary approach are crucial for early diagnosis and effective management.
- Increased awareness among clinicians regarding BD as a cause of stroke in young, at-risk populations is essential.
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