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神经白塞病中的硬脑膜动静脉瘘:关联还是巧合?

Dural Arteriovenous Fistula in Neuro-Behçet's Disease: Association or Chance?

作者信息

Nakaya Yuka, Hayashi Koji, Hashimoto Norichika, Suzuki Asuka, Mitsuhashi Shiho, Sato Mamiko, Hayashi Kouji, Kobayashi Yasutaka

机构信息

Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.

Department of Neurosurgery, Fukui General Hospital, Fukui, JPN.

出版信息

Cureus. 2024 Feb 26;16(2):e54988. doi: 10.7759/cureus.54988. eCollection 2024 Feb.

Abstract

Behçet's disease (BD) is a multisystemic vasculitis disorder. Neuro-Behçet's disease (NBD) is a set of neurologic symptoms imputable to an underlying Behçet vasculitis. Among the wide range of vascular abnormalities secondary to BD, a dural arteriovenous fistula (dAVF) is not classically described. Whether a dAVF is associated with BD or dAVF is a chance occurrence is still a matter of debate. Herein, we describe an NBD case of a 48-year-old male, presenting with headache and fever, where a dAVF was seen on imaging. He was treated with prednisolone and colchicine, followed by the surgical resection for dAVF. Then, we discuss the possible association between BD and dAVF based on the latest literature.

摘要

白塞病(BD)是一种多系统血管炎疾病。神经白塞病(NBD)是一组可归因于潜在白塞血管炎的神经系统症状。在BD继发的多种血管异常中,硬脑膜动静脉瘘(dAVF)并非经典描述的情况。dAVF是否与BD相关,还是只是偶然发生,仍是一个有争议的问题。在此,我们描述一例48岁男性的NBD病例,该患者表现为头痛和发热,影像学检查发现有dAVF。他接受了泼尼松龙和秋水仙碱治疗,随后对dAVF进行了手术切除。然后,我们根据最新文献讨论BD与dAVF之间可能的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5757/10973793/7d4c6b3c4206/cureus-0016-00000054988-i01.jpg

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