白塞病中的皮质下蛛网膜下腔出血
Cortical Subarachnoid Hemorrhage in Behcet's Disease.
作者信息
Topcuoglu Mehmet Akif, Arsava Ethem Murat, Balci Sinan, Arat Anil
机构信息
Hacettepe University Hospitals, Neurology Department, Neurocritical Care and Stroke Units, Ankara, Turkey.
Hacettepe University Hospitals, Neurology Department, Neurocritical Care and Stroke Units, Ankara, Turkey.
出版信息
J Stroke Cerebrovasc Dis. 2022 Apr;31(4):106351. doi: 10.1016/j.jstrokecerebrovasdis.2022.106351. Epub 2022 Feb 10.
OBJECTIVE
Cortical 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 REPORT
A 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.
CONCLUSION
This 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.
目的
皮质下蛛网膜下腔出血（cSAH）可由多种原因引起。本文首次报道了一例可能与白塞病相关的cSAH。
病例报告
一名患有稳定型白塞病的58岁男性因突发头痛接受评估。急诊计算机断层扫描显示左额叶脑沟有cSAH。发现一个大脑中动脉皮质分支动脉瘤破裂。令人惊讶的是，该动脉瘤在诊断性导管血管造影术后完全闭塞。
结论
本病例突出了三个要点；第一，非霉菌性（非感染性）大脑远端动脉瘤可能很少导致cSAH。第二，诊断性脑血管造影术后远端夹层动脉瘤可能很少会闭塞。第三，此类动脉瘤可能是白塞病血管炎症的长期后果之一。
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