Embolic stroke with a patent foramen ovale and Behcet's disease

被引：3

作者：

Ishida, C

Furui, E

Sakashita, Y

Yamada, M

机构：

[1] Kanazawa Univ, Grad Sch Med Sci, Dept Neurol & Neurobiol Aging, Kanazawa, Ishikawa 920, Japan

[2] Tonami Gen Hosp, Dept Neurol, Tonami, Japan

来源：

INTERNAL MEDICINE | 2005年 / 44卷 / 04期

关键词：

Behcet's disease; patent foramen ovale; embolism; cerebrovascular accident;

D O I：

10.2169/internalmedicine.44.326

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of a 53-year-old man with Behcet's disease (BD) and paradoxical stroke. This patient suddenly developed sensory aphasia, right oculomotor palsy, nystagmus, and left ataxic hemiparesis. MR images showed fresh embolic infarcts in the midbrain and the left parietotemporal lobe. He presented with uveitis, oral aphthous ulcers and genital ulcers. An electrocardiogram revealed no abnormalities, and a transesophageal echocardiogram disclosed a patent foramen ovale. Since venous involvement is common in BD, we suspected the presence of smaller thrombi probable in this patient. We conclude that embolic stroke is a notable complication of BD with right-to-left shunting.

引用

页码：326 / 327

页数：2

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