2019 Volume 28 Issue 1 Pages 53-56
A 57-year-old man with Behçet’s disease was admitted to our hospital for lumber pain. Behçet’s disease with a saccular aneurysm of the abdominal aorta was diagnosed. Elective straight graft replacement was performed. Seven days after the operation, the patient’s consciousness suddenly deteriorated. An emergent brain MRI revealed high intensity signal in the brain stem, and that surrounding brain tissue was compressed by edema associated with the lesion. Acute neurological Behçet’s disease was diagnosed by a rheumatologist. After high-dose methyl prednisolone and immune suppressive therapy, the patient could be discharged without neurological deficit, and remained asymptomatic for 2-years thereafter.
