Cortical Subarachnoid Hemorrhage in Behcet's Disease

TOPÇUOĞLU M. A., ARSAVA E. M., BALCI S., ARAT A.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, vol.31, no.4, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.1016/j.jstrokecerebrovasdis.2022.106351
  • Journal Name: JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Keywords: Subarachnoid hemorrhage, Convexity, Cortical sulci, Infective encodarditis, Behcet's disease, PATTERNS
  • Hacettepe University Affiliated: Yes

Abstract

Objective: Cortical subarachnoid hemorrhage (cSAH) can be resulted from by a wide variety of causes. A cSAH probably associated with Behcet's disease is herein reported for the first time. Case report: A 58-year-old male with stable Behcet's disease evaluated for sudden onset headache. Emergency computed tomography disclosed cSAH in the left frontal sulci. A ruptured middle cerebral artery cortical branch aneurysm was found. Surprisingly, this aneurysm obliterated completely after diagnostic catheter angiography. Conclusion: This case highlights three important points; First, non-mycotic (non-infectious) distal cerebral artery aneurysms may rarely cause cSAH. Second, distal dissecting aneurysms may rarely become obliterated after diagnostic cerebral angiography. Third, such aneurysms may be one of the long-term consequences of vascular inflammation in Behcet's disease.