2004
DOI: 10.2176/nmc.44.368
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Middle Cerebral Artery Aneurysm Associated With Behcet's Disease-Case Report-

Abstract: A 37-year-old man with Behçet's disease suffered secondary subarachnoid hemorrhage and intracerebral hematoma in the right temporal lobe caused by a ruptured aneurysm of the right middle cerebral artery. The aneurysm was successfully clipped. Aneurysm formation is common in the visceral arteries in Behçet's disease, but extremely rare in the intracranial arteries. Vasculitis may be involved in the etiology of intracranial aneurysms in patients with Behçet's disease.

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Cited by 11 publications
(10 citation statements)
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References 19 publications
(53 reference statements)
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“…Intracranial aneurysms rupture and dissection are often the dreadful complication, albeit rare [3, 5, 6, 8, 1719], associated with a high mortality and poor neurological outcomes [4, 12]. Interestingly, the aneurysm disappears after corticosteroid regimen in several cases [6, 9, 19, 20]. In fact, our patient had no recurrence of cerebral stroke, but aneurysms persist and developed neurological and behavioral impairment upon discharge.…”
Section: Discussionmentioning
confidence: 79%
“…Intracranial aneurysms rupture and dissection are often the dreadful complication, albeit rare [3, 5, 6, 8, 1719], associated with a high mortality and poor neurological outcomes [4, 12]. Interestingly, the aneurysm disappears after corticosteroid regimen in several cases [6, 9, 19, 20]. In fact, our patient had no recurrence of cerebral stroke, but aneurysms persist and developed neurological and behavioral impairment upon discharge.…”
Section: Discussionmentioning
confidence: 79%
“…1) The common sites of arterial aneurysm formation are the abdominal aorta, and the femoral and pulmonary arteries. 8) Aneurysm formation is very rare on a cerebral artery.…”
Section: Discussionmentioning
confidence: 99%
“…Immunosuppressive therapy induces regression of vascular changes. 8) The risk of intracranial aneurysm is probably low, but the implications of this serious disease should not be underestimated.…”
Section: Discussionmentioning
confidence: 99%
“…Almost all cases of aneurysm in patients with Behcet's disease manifested as subarachnoid hemorrhage. 9,13,15,18,23,24) Recently, a case of unruptured aneurysm of the middle cerebral artery was described which disappeared after steroid therapy for 3 days. 11) Our case of aneurysm was first detected as unruptured and was treated by endovascular coiling.…”
Section: Discussionmentioning
confidence: 99%
“…17) Cerebral aneurysms in patients with Behcet's disease can be treated by clipping or coiling. 13,15,23) Only a few cases have been treated by coil embolization ( Table Neurol Med Chir (Tokyo) 49, October, 2009…”
Section: Discussionmentioning
confidence: 99%