Spontaneous dissection of the extracranial vertebral artery with spinal subarachnoid haemorrhage in a patient with Behçet's disease.

Abstract:

:A 40-year-old man with known definite Behçet'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.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Bahar S,Coban O,Gürvit IH,Akman-Demir G,Gökyiğit A

doi

10.1007/BF00588368

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

352-4

issue

5

eissn

0028-3940

issn

1432-1920

journal_volume

35

pub_type

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