Cortical Subarachnoid Hemorrhage in Behcet's Disease |
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| Institution: | 1. Hacettepe University Hospitals, Neurology Department, Neurocritical Care and Stroke Units, Ankara, Turkey;2. Hacettepe University Hospitals, Radiology Department, Ankara, Turkey;1. Department of Neurology, Kentucky Neuroscience Institute;2. Department of Pathology & Laboratory Medicine, University of Kentucky Chandler Medical Center, Lexington, Kentucky, USA;1. John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, Louisiana, United States;2. Department of Kinesiology and Health Sciences, College of Humanities and Science, Virginia Commonwealth University and the Division of Cardiology, VCU Pauley Heart Center, Department of Internal Medicine, VCU, Richmond, Virginia, United States;3. Division of Cardiovascular Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States;1. School of Medicine, Universidad Espíritu Santo – Ecuador, Samborondón, Ecuador;2. Department of Epidemiology, Gilead Sciences, Inc., Foster City, CA, USA;3. Community Center, The Atahualpa Project, Atahualpa, Ecuador;4. Department of Psychiatry, Mount Sinai Morningside, New York, NY, USA;5. Renaissance School of Medicine, Stony Brook University, New York, NY, USA;3. Department of Medicine, Mount Auburn Hospital/Beth Israel Lahey Health, Cambridge, MA, USA;4. Harvard Medical School, Boston, MA, USA;5. Department of Pulmonary and Critical Care, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.;6. Department of Surgery and Cancer, Imperial College London, London, UK;7. Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, UK;8. Department of Surgery, Oxford University Hospitals NHS Trust, Oxford, UK;9. Department of Neurology, Hackensack University Medical Center, Hackensack, USA;10. National Heart and Lung Institute, Imperial College London, UK;11. Department of Cardiology, Kings College of London, British Heart Foundation Centre of Research Excellence, London, UK;12. Division of Pulmonary and Critical Care, Brigham and Women''s Hospital, Boston, MA, USA;13. Division of Neurology, Mount Auburn Hospital, Cambridge, MA, USA |
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| Abstract: | ObjectiveCortical subarachnoid hemorrhage (cSAH) can be resulted from by a wide variety of causes. A cSAH probably associated with Behcet's disease is herein reported for the first time.Case reportA 58-year-old male with stable Behcet's disease evaluated for sudden onset headache. Emergency computed tomography disclosed cSAH in the left frontal sulci. A ruptured middle cerebral artery cortical branch aneurysm was found. Surprisingly, this aneurysm obliterated completely after diagnostic catheter angiography.ConclusionThis case highlights three important points; First, non-mycotic (non-infectious) distal cerebral artery aneurysms may rarely cause cSAH. Second, distal dissecting aneurysms may rarely become obliterated after diagnostic cerebral angiography. Third, such aneurysms may be one of the long-term consequences of vascular inflammation in Behçet's disease. |
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