Medullary ischemia due to vertebral arteritis associated with Behçet syndrome: a case report.
Asian Pac J Allergy Immunol
; 30(3): 239-42, 2012 Sep.
Article
in En
| MEDLINE
| ID: mdl-23156855
ABSTRACT
Here we report an extremely rare case of Behçet syndrome (BS) that showed acute onset of Wallenberg syndrome and was treated successfully by corticosteroids. A 51-year-old woman with BS had a sudden onset of Wallenberg syndrome. Three days after the onset, she was transferred to our institute. In the magnetic resonance imaging (MRI) study on admission, T2-weighted and fluid-attenuated inversion recovery images showed a high intensity area in the left paramedian region of the medulla oblongata. Contrast-enhanced T1-weighted images showed enhancement in the vessel wall of the left vertebral artery. We diagnosed her as having Wallenberg syndrome due to the acute vertebral arteritis associated with BS. After initiation of high-dose steroid therapy, her symptoms gradually improved. Two months after admission, she was discharged from our institute with mild hemihypesthesia. We hypothesized that vertebral arteritis due to BS had caused hypoperfusion of the medullary perforators causing Wallenberg syndrome in our patient.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vertebral Artery
/
Lateral Medullary Syndrome
/
Medulla Oblongata
/
Behcet Syndrome
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Asian Pac J Allergy Immunol
Year:
2012
Type:
Article
Affiliation country:
Japan