Skip to main content

Advertisement

SpringerLink
Log in

Endovascular treatment of Behçet's disease-associated intracranial aneurysms: report of two cases and review of the literature

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Behçet's disease (BD) is a well-known multisystem inflammatory disorder of unknown etiology. Aneurysms of the cerebral arteries are not commonly described in patients with BD. There are few cases of intracranial aneurysms with BD reported in the literature. In this study, we report endovascular treatment of BD-related ruptured intracranial aneurysms in two cases, and present a wide literature review of intracranial arterial aneurysms related to BD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2A, B.
Fig. 3.

Similar content being viewed by others

References

  1. Sakane T, Takeno M, Suzuki N, Inaba G (1999) Behçet's disease. N Engl J Med 341: 1284–1291

    Article  CAS  PubMed  Google Scholar 

  2. Siva A, Kantarci OH, Saip S, Altintas A, Hamuryudan V, Islak C, Kocer N, Yazici H (2001) Behçet's disease: diagnostic and prognostic aspects of neurological involvement. J Neurol 248: 95–103

    Article  CAS  PubMed  Google Scholar 

  3. Kocer N, Islak C, Siva A, Saip S, Akman C, Kantarci O, Hamuryudan V (1999) CNS involvement in neuro-Behçet syndrome: an MR study. AJNR Am J Neuroradiol 20: 1015–1024

    CAS  PubMed  Google Scholar 

  4. Shimizu T, Ehrlich GE, Inaba G, Hayashi K (1979) Behçet's disease (Behçet's syndrome). Semin Arthritis Rheum 8: 223–260

    CAS  PubMed  Google Scholar 

  5. Hamza M (1987) Larger artery involvement in Behçet's disease. J Rheumatol 14: 554–559

    CAS  PubMed  Google Scholar 

  6. Ko GY, Byun JY, Choi BG, Cho SH (2000) The vascular manifestations of Behçet's disease: angiographic and CT findings Br J Radiol 73: 1270–1274

    CAS  Google Scholar 

  7. Koc Y, Gullu I, Akpek G, Akpolat T, Kansu E, Kiraz S, Batman F, Kansu T, Balkanci F, Akkay S, Telatar H, Zileli T (1992) Vascular involvement in Behçet's disease. J Rheumatol 19: 402–410

    CAS  PubMed  Google Scholar 

  8. Akar Z, Hanci M, Kaynar MY, Uzan M, Kuday C (1992) Neuro-Behçet's disease: progressively enlarging temporal mass. J Ankara Med Sch 14: 295–300

    Google Scholar 

  9. Kawakita H, Nishimura M, Satoh Y, Shibata N (1967) Neurological aspects of Behçet's disease: a case report and clinico-pathological review of the literature in Japan. J Neurol Sci 5: 417–438

    CAS  PubMed  Google Scholar 

  10. Le Thi Huong D, Wechsler B, Papo T, Piette JC, Bletry O, Vitoux JM, Kieffer E, Godeau P (1995) Arterial lesions in Behçet's disease. A study in 25 patients. J Rheumatol 22: 2103–2113

    PubMed  Google Scholar 

  11. Park JH, Han MC, Bettmann MA (1984) Arterial manifestations of Behçet's disease. AJR Am J Roentgenol 143: 821–825

    CAS  PubMed  Google Scholar 

  12. Altinors N, Senveli E, Arda N, Turker A, Kars Z, Cinar N, Ozkan S (1987) Intracerebral hemorrhage and hematoma in Behçet's disease: case report. Neurosurgery 21: 582–583

    CAS  PubMed  Google Scholar 

  13. Benamour S, Zeroual B, Bennis R, Amraoui A, Bettal S (1990) Behçet's disease: 316 cases. Presse Med 19: 1485–1489

    CAS  PubMed  Google Scholar 

  14. Al Dalaan AN, Al Balaa SR, El Ramhi, et al (1994) Behçet's disease in Saudi Arabia. J Rheumatol 21: 658–661

    PubMed  Google Scholar 

  15. Perniciaro C, Molina J (1991) In: O'Duffy JD, Kokmen E (eds) Behçet's disease: basic and clinical aspects. Marcel Dekker, New York, pp 119–123

  16. Katoh K, Matsunaga K, Ishigatsubo Y, Chiba J, Tani K, Kitamura H, Tani S, Handwerger BS (1985) Pathologically defined neuro, vasculo, entero-Behçet's disease. J Rheumatol 12: 1186–1190

    CAS  PubMed  Google Scholar 

  17. Buge A, Vincent D, Rancurel G, Dechy H, Dorra M, Betourne C (1987) Maladie de Behçet avec anevrysms arteriels multiples intracraniens. Rev Neurol 143: 832–835

    CAS  PubMed  Google Scholar 

  18. Kerr JS, Roach ES, Sinal SH, et al (1989) Intracranial arterial aneurysm complicating Behçet disease. J Child Neurol 4: 147–149

    CAS  PubMed  Google Scholar 

  19. Tsuji S, Suzuki Y, Tomii M, et al (1990) Behçet disease associated with multiple cerebral aneurysms and downhill esophageal varices caused by superior vena cava obstruction: a case report. Ryumachi 30: 375–381

    CAS  PubMed  Google Scholar 

  20. Khodja RH, Declemy S, Batt M, Daune B, Avril G, Le Bas P (1991) Maladie de Behçet avec atteinte arterielle multiple et volumineux angiome intracerebral. J Mal Vasc 16: 383–386

    PubMed  Google Scholar 

  21. Ildan F, Gocer AL, Bagdatoglu H, et al (1996) Intracranial aneurysm complicating Behçet disease. Neurosurg Rev 19: 53–56

    CAS  PubMed  Google Scholar 

  22. El Abbadi N, El Mostarchid B, Ababou A, Mosadik A, Semlali A, Bellakhdar F (1999) Maladie de Behçet avec anevrisms arteriels intracraniens multiples. A propos d'un cas. J Mal Vasc 24: 225–228

    PubMed  Google Scholar 

  23. Nakasu S, Kaneko M, Matsuda M (2001) Cerebral aneurysms associated with Behçet's disease: a case report. J Neurol Neurosurg Psychiatry 70: 682–684

    Google Scholar 

  24. Zelenski JD, Capraro JA, Holden D, Calabrese LH (1989) Central nervous system vasculitis in Behçet's syndrome: angiographic improvement after therapy with cytotoxic agents. Arthritis Rheum 32: 217–220

    CAS  PubMed  Google Scholar 

  25. Dietl S, Schuhmacher M, Menninger H, Lie JT (1994) Subarachnoid hemorrhage associated with bilateral internal carotid artery aneurysms as a manifestation of Behçet's disease. J Rheumatol 21: 775–776

    CAS  PubMed  Google Scholar 

  26. Rosenstingl S, Dupuy A, Alves O, George B, Tobelem G (2001) Maladie de Behçet revelee par un anevrisme intracranien. Rev Med Interne 22: 177–182

    Article  CAS  PubMed  Google Scholar 

  27. Kissela BM, Sauerbeck L, Woo D, Khoury J, Carrozzella J, Pancioli A, Jauch E, Moomaw CJ, Shukla R, Gebel J, Fontaine R, Broderick J (2002) Subarachnoid hemorrhage. A preventable disease with a heritable component. Stroke 33: 1321–1326

    Article  PubMed  Google Scholar 

  28. Crawford MD, Sarner M (1965) Ruptured intracranial aneurysm: community study. Lancet II: 1254–1257

    Google Scholar 

  29. Chaloupka JC, Putman CM, Awad IA (1996) Endovascular therapeutic approach to peripheral aneurysms of the superior cerebellar artery. AJNR Am J Neuroradiol 17: 1338–1342

    CAS  PubMed  Google Scholar 

  30. Danet M, Raymond J, Roy D (2001) Distal superior cerebellar artery aneurysm presenting with cerebellar infarction: report of two cases. AJNR Am J Neuroradiol 22: 717–720

    CAS  PubMed  Google Scholar 

  31. Ishikawa E, Yanaka K, Meguro K, Narushima K, Suzuki K, Wada M, Nose T (2000) Treatment of peripheral aneurysms of the posterior circulation. No Shinkei Geka 28: 337–343

    CAS  PubMed  Google Scholar 

  32. Bahar S, Coban O, Gurvit IH, Akman-Demir G, Gokyigit A (1993) Spontaneous dissection of the extracranial vertebral artery with spinal subarachnoid haemorrhage in a patient with Behçet's disease. Neuroradiology 35: 352–354

    CAS  PubMed  Google Scholar 

  33. Itoh K, Umehara F, Utatsu Y, Maruyama Y, Osame M (1996) Medullary infarction due to vertebral dissecting aneurysm in a patient with Behçet's disease. Rinsho Shinkeigaku 36: 986–989

    CAS  PubMed  Google Scholar 

  34. Mizutani T, Kojima H, Asamoto S, Miki Y (2001) Pathological mechanism and three-dimensional structure of cerebral dissecting aneurysms. J Neurosurg 94: 712–717

    CAS  PubMed  Google Scholar 

  35. Amagasaki K, Yagishita T, Yagi S, Kuroda K, Nishigaya K, Nukui H (1999) Serial angiography and endovascular treatment of dissecting aneurysms of the anteriorcerebral and vertebral arteries. Case report. J Neurosurg 91: 682–686

    CAS  PubMed  Google Scholar 

  36. Mizutani T, Miki Y, Kojima H, Suzuki H (1999) Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurg 45: 253–260

    CAS  Google Scholar 

  37. Kingston M, Ratcliffe JR, Altree M, Merendino KA (1979) Aneurysms after arterial puncture in Behçet's disease. BMJ i:1766–1767

    Google Scholar 

  38. Biller J, Loftus CM, Moore SA; Schelper RL, Danks KR, Cornell SH (1987) Isolated central nervous system angiitis first presenting as spontaneous intracranial hemorrhage. Neurosurgery 20: 310–315

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, 34300, Kocamustafapasa, Istanbul, Turkey

    Osman Kizilkilic, Sait Albayram, Ibrahim Adaletli, Civan Islak & Naci Kocer

  2. Department of Neurosurgery, Cerrahpasa Medical School, 34300, Kocamustafapasa, Istanbul, Turkey

    Halil Ak

Authors
  1. Osman Kizilkilic
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sait Albayram
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ibrahim Adaletli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Halil Ak
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Civan Islak
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Naci Kocer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Naci Kocer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kizilkilic, O., Albayram, S., Adaletli, I. et al. Endovascular treatment of Behçet's disease-associated intracranial aneurysms: report of two cases and review of the literature. Neuroradiology 45, 328–334 (2003). https://doi.org/10.1007/s00234-003-0952-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-003-0952-x

Keywords

Search

Navigation