RT Journal Article
SR Electronic
T1 Neurobehcet with cerebral aneurysm
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 343
OP 346
DO 10.17712/nsj.2018.4.20180280
VO 23
IS 4
A1 Ahmed A. Aldajani
A1 Aishah I. Albakr
A1 Noman Ishaque
A1 Hosam M. Al-Jehani
YR 2018
UL http://nsj.org.sa/content/23/4/343.abstract
AB Neuro-behçet’s disease (NBD) is an uncommon, serious presentation of behçet’s disease (BD) causing long-term morbidity and mortality. Cerebral aneurysms are rare in BD, with only a handful of cases reported worldwide. A 39-year-old female experienced slurring of speech, numbness, and reduced sensation in the left face, arm, and leg 90 minutes prior to presentation. She provided a history of recurrent oral and genital ulcers associated with intermittent joints pain and blurring of vision. erythrocyte sedimentation rate was elevated, but all other autoimmune workup was negative. Neuro-behçet’s disease was diagnosed. Brain magnetic resonance imaging demonstrated acute right periventricular infarction. Magnetic resonance angiogram revealed M1 segment stenosis and right internal carotid artery saccular aneurysm. Catheter angiography confirmed its presence measuring 4.8 mm×6.1 mm. She was stabilized after coiling of the aneurysm and was started on medical therapy. Brain imaging should be carried out in young patients with BD presenting with an ischemic event, and intervention may be lifesaving.