Multiple peripheral middle cerebral artery aneurysms associated with Behcet's disease

We report a 19-year-old woman with Behcet's disease who suffered a subarachnoid hemorrhage and had bilateral peripheral middle cerebral artery aneurysms. After steroid therapy for 3 days, the smaller aneurysm disappeared. The larger aneurysm was excised and the artery reconstructed using a supe...

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Bibliographic Details
Published in:Acta neurochirurgica 2007-08, Vol.149 (8), p.823-827
Main Authors: Kaku, Y, Hamada, J-I, Kuroda, J-I, Kai, Y, Morioka, M, Kuratsu, J-I
Format: Article
Language:English
Subjects:
Adult
Anti-Inflammatory Agents - administration & dosage
Arteries - transplantation
Behcet Syndrome - diagnosis
Behcet Syndrome - pathology
Behcet Syndrome - surgery
Cerebral Angiography
Female
Humans
Infusions, Intravenous
Intracranial Aneurysm - diagnosis
Intracranial Aneurysm - pathology
Intracranial Aneurysm - surgery
Magnetic Resonance Imaging
Methylprednisolone - administration & dosage
Middle Cerebral Artery - pathology
Middle Cerebral Artery - surgery
Premedication
Subarachnoid Hemorrhage - diagnosis
Subarachnoid Hemorrhage - pathology
Subarachnoid Hemorrhage - surgery
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Summary:We report a 19-year-old woman with Behcet's disease who suffered a subarachnoid hemorrhage and had bilateral peripheral middle cerebral artery aneurysms. After steroid therapy for 3 days, the smaller aneurysm disappeared. The larger aneurysm was excised and the artery reconstructed using a superficial temporary artery graft. Histological examination showed vasculitis restricted to the wall of the aneurysm. This is the first report of arterial reconstruction for an aneurysm associated with Behcet's disease. Steroid therapy before the operation may facilitate repair of the arterial wall.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-007-1226-x