Presenter of 1 Presentation
JUNCTIONAL STROKE REVEALING NEURO-BEHCET’S DISEASE
Abstract
Background and Aims
Introduction :
Behcet's disease (BD) is a multisystem relapsing inflammatory disorder. Neurological involvement is well known but ischaemic stroke is unusual.
Methods
Case description :
A 42-year-old male patient with hypertension, obstructive sleep apnea syndrome, chronic sinusitis, presented with acute left hemiparesis. Cranial magnetic resonance (MR) imaging showed a right junctional anterior stroke and multiple segmental stenosis of the arteries of the polygone of Willis were seen on angiography. There was no clinical or serological evidence in favour of cerebral vascularitis. One year after, he developed recurrent oral and genital aphthosis, pseudofolliculitis and erythema nodosum. A diagnosis of BD with cerebral vasculitis was made and immunosuppressive therapy was started.
Results
Discussion :
Neurological involvement in BD has two common features: parenchymal involvement and non-parenchymal involvement like intracranial hypertension, sinus thromboses and aseptic meningitis. BD has the propensity to affect the venous rather than the arterial side and can rarely lead to cerebral vasculitis.
Conclusions
Conclusion :
BD should be considered in young patients who had brain infarction and cerebral vasculitis.