Cerebrovascular manifestations of Behçet’s disease

Ilhan, Demet; Gülcan, Erim; Uzuner, Nevzat; Celikkas, Emine

doi:10.1016/j.jocn.2008.05.018

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…In addition, there are various hypotheses regarding the reason of abscess in BD, including bacterial, viral, and fungal infections (8). In the case, microbiological examination of blood and CSF was normal in admission and on follow-up.…”

Section: A B a Bmentioning

confidence: 90%

“…It is characterized by the presence of a diagnostic triad of oral and genital aphtous lesions, ulcers and relapsing uveitis (6). CNS involvement is encountered at a rate between 5% and 30%, but cerebral abscess formation is rarely seen in the medical literature (5,6,8). CNS manifestations of BD are classified in two groups; 1-Parenchymal CNS involvement (Neuro-Behçet's Disease).…”

Section: Tokgoz S Et Al: Cerebral Abscesses In Behcet's Diseasementioning

confidence: 99%

“…In addition, they are hyperintense on DWI and hypo-, iso-, or hyperintense on ADC map. Homogeneous, heterogeneous, linear, circular, and ring patterns have been described (4,7,8). Radiological imaging techniques provide early detection of neurological diseases, but they do not always provide an adequate and reliable diagnosis.…”

Section: A B a Bmentioning

confidence: 99%

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Cerebral abscesses in behçet’s disease: a case report

Tokgöz

Öğmegül²,

Mutluer³

et al. 2010

Turkish Neurosurgery

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Behçet's disease is a multisystem relapsing inflammatory disorder of unknown cause. Neurological involvement is one of the most serious causes of long-term morbidity and mortality in Behçet's disease. Cerebral abscess is very rare in literature. A 45-yr-old man with Behçet's disease manifesting focal epileptic seizure and multiple cerebral abscesses is reported in the case. He was diagnosed with cerebral abscess and was treated with antibiotics but no improvement occurred. Excisional biopsy was performed and the lesions were consistent with abscess. The clinical state of the patient gradually improved. The patient had no further complications. The etiology, and clinical and magnetic resonance imaging findings are discussed. KeywOrds: NeuroBehcet disease, Behcet's disease, Cerebral abscess ÖZBehçet Hastalığı nedeni bilinmeyen relapslarla seyreden multisistemik inflamatuvar bir hastalıktır. Nörolojik tutulum uzun dönem mortalite ve morbiditenin en ciddi nedenlerinden bir tanesidir. Serebral abse ise literatürde oldukça nadir görülmektedir. Fokal epileptik nöbetle gelen multipl serebral abseleri olan 45 yaşında bir erkek Behçet hastası sunuldu. Serebral abse tanısı alan hastaya antibiyotik tedavisi başlandı ancak bir düzelme görülmedi. Daha sonra eksizyonel biyopsi yapıldı ve alınan lezyonlar abse ile uyumluydu. Sonrasında hastanın klinik durumu giderek düzeldi. Hasta halen herhangi bir komplikasyonu olmaksızın yaşamını sürdürmektedir. Etiyoloji, klinik ve manyetik rezonans görüntüleme bulguları tartışıldı.

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Section: A B a Bmentioning

confidence: 90%

Section: Tokgoz S Et Al: Cerebral Abscesses In Behcet's Diseasementioning

confidence: 99%

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Cerebral abscesses in behçet’s disease: a case report

Tokgöz

Öğmegül²,

Mutluer³

et al. 2010

Turkish Neurosurgery

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“…Ocurre en 5% de los pacientes y usualmente se presenta en pacientes de género masculino. Se puede observar compromiso parenquimatoso (usualmente en tallo cerebral) o no parenquimatoso (trombosis de senos durales, meningitis ascéptica y vasculitis arterial) 21 .…”

Section: Compromiso De Sistema Nervioso Central (Cns)unclassified

Aneurisma de la arteria pulmonar en Enfermedad de Behçet

Bastidas

et al. 2010

Rev. méd. Chile

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Behçet disease is a systemic disease with diverse clinical symptoms which vary according to the organs and systems involved. Typically , patients have oral and genital ulcers and episodic ocular involvement with periods of clinical improvement. We report a 18 year-old male presenting with chest pain and hemoptysis and a history of ulcers in the oral cavity and scrotum. A chest CAT scan showed a mass located adjacent to the heart that a pulmonary arteriography defined as a left pulmonary artery aneurism. The patient was operated, excising left inferior pulmonary lobe. Due to skin and ocular involvement, the patient complied with criteria for Behçet disease. Immunosuppressive treatment with prednisone and azathioprine was started and the patient was discharged from the hospital.

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“…Men were more likely to have 1 risk factor. 49 Other frequently seen causes include Factor V Leiden, 1 protein C, 28 or protein S 39 deficiencies; antiphospholipid syndrome; 45 vasculitis; 26 or infections. 38 It has been suggested that pseudotumor cerebri is due to undiagnosed CVT, and one study has suggested that MR venography should be done unless MR imaging is diagnostic for CVT in any patient with presumed IIH, to rule out this condition.…”

mentioning

confidence: 99%

From presentation to follow-up: diagnosis and treatment of cerebral venous thrombosis

Bentley¹,

Figueroa

Vender³

2009

FOC

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Cerebral venous thrombosis is an uncommon cause of stroke but remains a challenge for physicians faced with this diagnosis largely due to the variability in presentation. Anticoagulation, typically with intravenous heparin, remains the mainstay of treatment for stable patients and is sufficient in the majority of cases. However, a significant mortality rate exists for cerebral venous thrombosis due to patients who deteriorate or do not adequately respond to initial treatments. It is in these patients that more aggressive interventions must be undertaken. The neurosurgeon is often called on, either acutely for initial evaluation of the stroke or venous hemorrhage or after the failure of initial therapy for clot evacuation, hemicraniectomy, or thrombectomy. A proper workup must include a search for an underlying, correctable cause as well as thorough follow-up with correction of identified risk factors to decrease the risk of recurrent disease.

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Cerebrovascular manifestations of Behçet’s disease

Cited by 9 publications

References 30 publications

Cerebral abscesses in behçet’s disease: a case report

Cerebral abscesses in behçet’s disease: a case report

Aneurisma de la arteria pulmonar en Enfermedad de Behçet

From presentation to follow-up: diagnosis and treatment of cerebral venous thrombosis

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