SPONTANEOUS DISSECTION OF THE EXTRACRANIAL VERTEBRAL ARTERY WITH SPINAL SUBARACHNOID HEMORRHAGE IN A PATIENT WITH BEHCETS-DISEASE

BAHAR S., COBAN O., GÜRVİT İ. H., AKMANDEMIR G., GOKYIGIT A.

NEURORADIOLOGY, cilt.35, sa.5, ss.352-354, 1993 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 5
  • Basım Tarihi: 1993
  • Doi Numarası: 10.1007/bf00588368
  • Dergi Adı: NEURORADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.352-354
  • Anahtar Kelimeler: SPONTANEOUS ARTERIAL DISSECTIONS, SUBARACHNOID HEMORRHAGE, SPINAL ANEURYSM, ARTERIAL DISSECTION, BEHCETS DISEASE, ANEURYSM, INVOLVEMENT, HEMORRHAGE
  • İstanbul Üniversitesi Adresli: Evet

Özet

A 40-year-old man with known definite Behcet's disease (BD) was admitted with confusional state which had started 4 days before admission with an acute headache and vomiting. Neurological examination revealed confusion, stiff neck, right facial weakness, left hemiparesis, dysartria and truncal ataxia. CSF was haemorrhagic and xanthochromic. Cranial CT scans were negative, but MRI showed a right pontine hyperintense lesion on T2-weighted images. Bilateral carotid angiograms were normal. Right vertebral angiogram showed findings consistent with a dissection at the V2 segment of the artery. At the level of the fifth cervical vertebra, a radiculomedullary branch of the vertebral artery with an aneurysmal dilatation in its intradural portion was notable. This case shows that, in BD, aneurysm formation can also occur in a spinal artery and spontaneous vertebral artery dissection can be seen.