Cortical Subarachnoid Hemorrhage in Behcet's Disease

J Stroke Cerebrovasc Dis. 2022 Apr;31(4):106351. doi: 10.1016/j.jstrokecerebrovasdis.2022.106351. Epub 2022 Feb 10.

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 Behçet's disease.

Keywords: Behcet's disease; Convexity; Cortical sulci; Infective encodarditis; Subarachnoid hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Behcet Syndrome* / complications
  • Behcet Syndrome* / diagnosis
  • Behcet Syndrome* / drug therapy
  • Cerebral Angiography / adverse effects
  • Cerebral Hemorrhage / complications
  • Humans
  • Intracranial Aneurysm* / complications
  • Intracranial Aneurysm* / diagnostic imaging
  • Male
  • Middle Aged
  • Subarachnoid Hemorrhage* / complications
  • Subarachnoid Hemorrhage* / etiology