The patient’s progress summarized in a timely manner from day of admission until discharge.
| Dates | Relevant past medical history and interventions | ||
|---|---|---|---|
| 3rd Jan 2017 | 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 joint pains and blurring of vision. Elevated inflammatory markers and negative autoimmune work up was exhibited. Neuro-behçet’s disease was diagnosed. Brain imaging demonstrated an acute stroke & MRA revealed M1 segment stenosis and right internal carotid artery saccular aneurysm. Catheter angiography confirmed its presence measuring 4.8mm×6.1mm. She was stabilized after coiling of the aneurysm and was started on medical therapy. | ||
| Dates | Summaries from initial follow-up visits | Diagnostic testing (including test dates) | Interventions |
| 3rd Jan 2017 | ESR was elevated, but all other autoimmune workup was negative. | Started on aspirin and clopidogrel. | |
| 4th Jan 2017 | MRI demonstrated acute right periventricular infarction. | ||
| 4th Jan 2017 | MRA revealed M1 segment stenosis and right internal carotid artery saccular aneurysm. Catheter angiography confirmed its presence measuring 4.8mm×6.1mm. | ||
| 8th Jan 2017 | Coiling of the right ICA aneurysm. | ||
| 15th Jan 2017 | Seen in the rheumatology clinic as an outpatient and was started on medical treatment. | Started on azathioprine. | |
| 17th Aug 2017 | Patient did not report any symptoms recurrence or new neurologic symptoms on follow-up visits up to 8 months. | ||
NBD - Neuro-behçet’s disease, MRA - Magnetic Resonance Angiography, ESR - -Erythrocyte Sedimentation Rate, MRI - magnetic resonance imaging, ICA - internal carotid artery.