Ildan F, Göçer A I, Bağdatoğlu H, Tuna M, Karadayi A
Department of Neurosurgery, Cukurova University School of Medicine, Balcah, Adana, Turkey.
Neurosurg Rev. 1996;19(1):53-6. doi: 10.1007/BF00346612.
Behçet's disease, a rare condition in central Europe but more common in Turkey where it was originally described, is characterized clinically by the presence of a diagnostic triad of oral and genital aphthous ulcers, meningitis, and relapsing iridocyclitis. Vascular lesions including arterial and venous occlusions, arterial aneurysms and varices are one of the common complications of Behçet's disease occur most commonly in the abdominal aorta, femoral arteries and pulmonary arteries. There have been only four reports of aneurysms of cerebral arteries in the literature. The authors describe a patient with Behçet's disease who suffered secondary subarachnoid hemorrhage due to a ruptured aneurysm of the anterior communicating artery 3 years after the initial diagnosis. This case report draws further attention to this rare entity in patients with Behçet's disease.
白塞病在中欧较为罕见，但在其最初被描述的土耳其更为常见。临床上，白塞病的特征是具有诊断三联征，即口腔和生殖器阿弗他溃疡、脑膜炎和复发性虹膜睫状体炎。血管病变包括动脉和静脉闭塞、动脉瘤和静脉曲张，是白塞病常见的并发症之一，最常发生于腹主动脉、股动脉和肺动脉。文献中仅有4例脑动脉动脉瘤的报道。作者描述了1例白塞病患者，在初次诊断3年后，因前交通动脉瘤破裂继发蛛网膜下腔出血。本病例报告进一步引起了对白塞病患者中这种罕见情况的关注。
