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

被引:57
作者
BAHAR, S
COBAN, O
GURVIT, IH
AKMANDEMIR, G
GOKYIGIT, A
机构
[1] Department of Neurology, Istanbul Medical Faculty, Çapa, Istanbul
关键词
SPONTANEOUS ARTERIAL DISSECTIONS; SUBARACHNOID HEMORRHAGE; SPINAL ANEURYSM; ARTERIAL DISSECTION; BEHCETS DISEASE;
D O I
10.1007/BF00588368
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:352 / 354
页数:3
相关论文
共 21 条
  • [1] ARIAS MJ, 1987, NEUROSURGERY, V20, P62
  • [2] BENAMOUR S, 1990, PRESSE MED, V19, P1485
  • [3] SPONTANEOUS DISSECTING ANEURYSM OF THE EXTRACRANIAL VERTEBRAL ARTERY (20 CASES)
    CHIRAS, J
    MARCIANO, S
    MOLINA, JV
    TOUBOUL, J
    POIRIER, B
    BORIES, J
    [J]. NEURORADIOLOGY, 1985, 27 (04) : 327 - 333
  • [4] SUBARACHNOID SPINAL HEMORRHAGE IN A CASE OF SYSTEMIC LUPUS-ERYTHEMATOSUS
    FODY, EP
    NETSKY, MG
    MRAK, RE
    [J]. ARCHIVES OF NEUROLOGY, 1980, 37 (03) : 173 - 174
  • [5] RUPTURED ANEURYSM OF THE SPINAL ARTERY OF ADAMKIEWICZ DURING PREGNANCY
    GARCIA, CA
    DULCEY, S
    DULCEY, J
    [J]. NEUROLOGY, 1979, 29 (03) : 394 - 398
  • [6] RUPTURED ANEURYSM OF THE POSTERIOR SPINAL ARTERY OF THE UPPER CERVICAL SPINAL-CORD - CASE-REPORT
    GOTO, Y
    KAMIJYO, Y
    YONEKAWA, Y
    KIKUCHI, H
    [J]. NEUROSURGERY, 1988, 22 (03) : 558 - 560
  • [7] HAMZA M, 1988, J MAL VASCUL, V13, P245
  • [8] HOUSER OW, 1984, AM J NEURORADIOL, V5, P27
  • [9] International Study Group for Behcet's Disease, 1990, LANCET, V335, P1078
  • [10] RUPTURED ANEURYSM OF THE ANTERIOR SPINAL ARTERY ASSOCIATED WITH PSEUDOXANTHOMA ELASTICUM - CASE-REPORT
    KITO, K
    KOBAYASHI, N
    MORI, N
    KOHNO, H
    [J]. JOURNAL OF NEUROSURGERY, 1983, 58 (01) : 126 - 128