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.
References
Tuzun H, Besirli K, Sayin A, Vural FS, Hamuryudan V, Hizli N, Yurdakul S, Yazici H (1997) Management of aneurysms in Behçet’s syndrome: an analysis of 24 patients. Surgery 121(2):150–156
Saadoun D, Asli B, Wechsler B, Houman H, Geri G, Dessaaux K, Piette JC, Huong DLT, Amoura Z, ben Salem T, Cluzel P, Koskas F, Resche-Rigon M, Cacoub P (2012) Long term outcome of arterial lesions in Behçet’s disease: a series of 101 patients. Medicine 91:18–24
Kobayashi M, Ito M, Nakagawa A, Matsushita M, Nishikimi N, Sakurai T, Nimura Y (2000) Neutrophil and endothelial cell activation in the vasa vasorum in vasculo-Behcet disease. Histopathology 36(4):362–371
McMenemey WH, Lawrence BJ (1957) Encephalomyelopathy in Behçet’s disease: report of necropsy findings in two cases. Lancet 2:353–358
Hirohata S (2008) Histopathology of central nervous system lesions in Behçet’s disease. J Neurol Sci 267:41–47
Al-Araji A, Kidd DP (2009) Neuro-Behçet’s disease: epidemiology, clinical characteristics, and management. Lancet Neurol 8(2):192–204
Buge A, Vincent D, Rancurel G, Dechy H, Dorra M, Betourne C (1987) Behçet’s disease with multiple intracranial arterial aneurysms. Rev Neurol (Paris) 143(12):832–835
Krespi Y, Akman-Demir G, Poyraz M, Tugcu B, Coban O, Tuncay R, Serdaroglu P, Bahar S (2001) Cerebral vasculitis and ischaemic stroke in Behçet’s disease: report of one case and review of the literature. Eur J Neurol 8:719–722
Zelenski JD, Capraro JA, Holden D, Calabrese LH (1989) Central nervous system vasculitis in Behçet’s syndrome: angiographic improvement after therapy with cytotoxic agents. Arthritis Rheum 32(2):217–220
Lee H, Yi HA, Lee SR, Nam SI, Lee J (2006) An unusual case of neuro-Behçet’s disease presenting with reversible basilar artery occlusion. Neurol Sci 27(1):70–73
Gan J, Zheng HB, Xi J, Zhou D, Shang HF, Lai XH (2007) A case of neuro-vasculo-Behcet disease. Eur J Neurol 14:16–17
Tascilar NF, Akman-Demir G, Demiryurek BE, Tokoz O, Akgun N, Ozen BB (2013) An unusual case of neuro-Behçet’s disease presenting with co-occurrence of cerebral venous sinus thrombosis with basilar artery occlusion. Neurol Sci 34:785–788
Ho S, Kim J, Kim CG, Jang SJ (2016) Multiple intracranial aneurysms associated with Behçet’s disease. J Cerebrovasc Endovasc Neurosurg 18:234–236
Kaku Y, Hamada JI, Kuroda JI, Kai Y, Morioka M, Kuratsu JI (2007) Multiple peripheral middle cerebral artery aneurysms associated with Behçet’s disease. Acta Neurochir (Wien) 149(8):823–827
Bahar S, Coban O, Gurvit IH, Akman-Demir G, Gokyigit A (1993) Spontaneous dissection of the extracranial vertebral artery with spinal subarachnoid haemorrhage in a patient with Behçet’s disease. Neuroradiology 35:352–354
Pannone A, Lucchetti G, Stazi G, Corvi F, Ferguson TL, Massucci M, Zaccaria A (1998) Internal carotid artery dissection in a patient with Behçet’s syndrome. Ann Vasc Surgery 12:463–467
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Kidd, D.P., Adams, A. Cerebral infarction in Behçet’s syndrome caused by obliterative focal arteritis. Neurol Sci 45, 745–748 (2024). https://doi.org/10.1007/s10072-023-07135-7
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DOI: https://doi.org/10.1007/s10072-023-07135-7