Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature

Behçet's disease (BD) is a multisystem vascular inflammatory disease with several clinical manifestations. Intracranial aneurysms are an extremely rare but nevertheless severe complication of BD. We report a case of a 44-year-old man. The diagnosis of BD was made based on the presence of recurr...

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Main Authors: Samia Younes, Yosra Cherif, Narjes Mokni, Olfa Berriche, Baha Zantour, Amel Boughammoura, Mahbouba Frih-Ayed, Saida Jerbi, Mohamed Habib Sfar
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/812158
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author Samia Younes
Yosra Cherif
Narjes Mokni
Olfa Berriche
Baha Zantour
Amel Boughammoura
Mahbouba Frih-Ayed
Saida Jerbi
Mohamed Habib Sfar
author_facet Samia Younes
Yosra Cherif
Narjes Mokni
Olfa Berriche
Baha Zantour
Amel Boughammoura
Mahbouba Frih-Ayed
Saida Jerbi
Mohamed Habib Sfar
author_sort Samia Younes
collection DOAJ
description Behçet's disease (BD) is a multisystem vascular inflammatory disease with several clinical manifestations. Intracranial aneurysms are an extremely rare but nevertheless severe complication of BD. We report a case of a 44-year-old man. The diagnosis of BD was made based on the presence of recurrent oral aphthous ulcers and positive human leukocyte antigen (HLA-) B51 in the absence of evidence of other diseases. MRI showed an ancient ischemic right capsulolenticular lesion, subacute white matter hypersignals of the left capsule lenticular region, and multiple arterial aneurysms. The patient underwent two-month systemic high-dose corticosteroids and immunosuppressive therapy associated with severe neurological deficiency upon admission and severe impairment upon discharge. A thorough review of the literature showed 20 case reports of intracranial aneurysms in BD.
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institution Kabale University
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Neurological Medicine
spelling doaj-art-20acc8163f9b4b22ab09a569cf030a632025-02-03T01:01:12ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/812158812158Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the LiteratureSamia Younes0Yosra Cherif1Narjes Mokni2Olfa Berriche3Baha Zantour4Amel Boughammoura5Mahbouba Frih-Ayed6Saida Jerbi7Mohamed Habib Sfar8Department of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Neurology, Fattouma Bourguiba University Hospital of Monastir, 1st June Street, 5000 Monastir, TunisiaDepartment of Neurology, Fattouma Bourguiba University Hospital of Monastir, 1st June Street, 5000 Monastir, TunisiaDepartment of Medical Imagery, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaDepartment of Endocrinology and Internal Medicine, Tahar Sfar University Hospital of Mahdia, Hiboun District, 5100 Mahdia, TunisiaBehçet's disease (BD) is a multisystem vascular inflammatory disease with several clinical manifestations. Intracranial aneurysms are an extremely rare but nevertheless severe complication of BD. We report a case of a 44-year-old man. The diagnosis of BD was made based on the presence of recurrent oral aphthous ulcers and positive human leukocyte antigen (HLA-) B51 in the absence of evidence of other diseases. MRI showed an ancient ischemic right capsulolenticular lesion, subacute white matter hypersignals of the left capsule lenticular region, and multiple arterial aneurysms. The patient underwent two-month systemic high-dose corticosteroids and immunosuppressive therapy associated with severe neurological deficiency upon admission and severe impairment upon discharge. A thorough review of the literature showed 20 case reports of intracranial aneurysms in BD.http://dx.doi.org/10.1155/2013/812158
spellingShingle Samia Younes
Yosra Cherif
Narjes Mokni
Olfa Berriche
Baha Zantour
Amel Boughammoura
Mahbouba Frih-Ayed
Saida Jerbi
Mohamed Habib Sfar
Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
Case Reports in Neurological Medicine
title Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
title_full Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
title_fullStr Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
title_full_unstemmed Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
title_short Cerebral Aneurysms: A Rare Feature of Behçet's Disease—A Case Report and Review of the Literature
title_sort cerebral aneurysms a rare feature of behcet s disease a case report and review of the literature
url http://dx.doi.org/10.1155/2013/812158
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