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作者报告1例白塞氏(Behcet’s)病合并颅内动脉瘤的男性患者,28岁,在Behcet’s病确诊3年以后因大脑前交通支动脉瘤破裂导致继发性蛛网膜下腔出血。 患者主诉近12小时的剧烈头痛、呕吐。有Behcet’s病史,表现为反复发作的眼部疾患、溃疡性胃炎、生殖器溃疡、皮肤的痤疮破溃样变。在1988年,皮肤活检表明组织学改变为脉管炎,并接受了长期甾类药物治疗。患者住进神经外科病房治疗,表现为颈项强直、易怒、烦躁,右侧轻度偏瘫伴全身反射亢进。眼科检查有视网膜血管炎。腰穿有大量血性液体,压力
The authors report a male patient with Behcet’s disease complicated with an intracranial aneurysm who was 28 years old and had secondary subarachnoid hemorrhage due to rupture of the anterior cerebral artery aneurysm after 3 years of diagnosis of Behcet’s disease. Patients complained of severe headache for nearly 12 hours, vomiting. Behcet’s history, manifested as recurrent eye disease, ulcerative gastritis, genital ulcers, skin acne rupture-like change. In 1988, skin biopsies showed histological changes to vasculitis and received long-term steroid therapy. Patients admitted to neurosurgical ward treatment, manifested as neck stiffness, irritability, irritability, mild hemiplegia with generalized hyperreflexia. Eye examination retinal vasculitis. Waist wear a lot of bloody fluid, pressure