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Systemic Lupus Erythematosus Presenting With Bilateral Vertebral Artery Dissection: Case Report

Year 2009, Volume: 2009 Issue: 4, 351 - 355, 01.04.2009

Abstract

Ischemic stroke due to cervicocranial artery dissections is a relatively common situation especially in the young population. Rarely it may present with intracranial hemorrhage rather than ischemia. Systemic lupus erythematosus usually cause occlusive disease of large cerebral vessels by means of inflammatory vasculopathy and sometimes arterial dissection. A case presenting with both ischemia and subarachnoid hemorrhage due to bilateral vertebral artery dissection will be discussed in the present study. Turkish Başlık: Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu Anahtar Kelimeler: Diseksiyon; inme; subaraknoid kanama; vertebral arter; sistemik lupus eritematozus Servikokranial arter diseksiyonu iskemik inmeler arasında özellikle genç yaşta oldukça sık rastlanan bir durumdur. Nadiren iskeminin dışında hemoraji ile de prezente olabilir. Sistemik lupus eritematozus genellikle serebral büyük damarlarda inflamatuar vaskülopati ile oklüzyona neden olmakla birlikte nadir arter diseksiyon nedenleri arasında yer almaktadır. Bu yazıda bilateral vertebral arter diseksiyonu sonucu iskemi ve subaraknoid kanamanın beraber izlendiği bir olgu sunulmaktadır.

References

  • Leys D, Lucas C, Gobert M, Deklunder G, Pruvo JP. Cervical artery dissections. Eur Neurol 1997;37:3-12.
  • Stahmer SA, Raps EC, Mines DI. Carotid and verte- bral artery dissections. Emerg Med Clin North Am 1997;15:677-98.
  • Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001;344:898-906.
  • Mokri B, Houser OW, Sandok BA, Piepgras DG. Spontaneous dissections of the vertebral arteries. Neurology 1988;38:880-5.
  • Schievink WI, Mokri B, O'Fallon WM. Recurrent spontaneous cervical-artery dissection. N Engl J Med 1994;330:393-7.
  • Leys D, Moulin T, Stojkovic T, Begey S, Chavot D, DONALD Investigators. Follow-up of patients with history of cervical artery dissection. Cerebrovasc Dis 1995;5:43-9.
  • Bassetti C, Carruzzo A, Sturzenegger M, Tuncdogan E. Recurrence of cervical artery dissection. A pro- spective study of 81 patients. Stroke 1996;27:1804-7.
  • García-Moncó JC, Fernández Cantón G, Gómez Beldarrain M. Bilateral vertebral artery dissection in a patient with afibrinogenemia. Stroke 1996;27:2325-7.
  • de Bray JM, Penisson-Besnier I, Dubas F, Emile J. Extracranial and intracranial vertebrobasilar dissec- tions: diagnosis and prognosis. J Neurol Neurosurg Psychiatry 1997;63:46-51.
  • Chang AJ, Mylonakis E, Karanasias P, De Orchis DF, Gold R. Spontaneous bilateral vertebral artery dis- sections: case report and literature review. Mayo Clin Proc 1999;74:893-6.
  • Silbert PL, Mokri B, Schievink WI. Headache and neck pain in spontaneous internal carotid and verte- bral artery dissections. Neurology 1995;45:1517-22.
  • Spalloni A, Ferrari M, Beccia M, Bracalello A, Rasura M. Bilateral spontaneous dissection of the internal carotid arteries. Eur J Neurol 2004;11:69-70.
  • Kwon SU, Koh JY, Kim JS. Vertebrobasilar artery territory infarction as an initial manifestation of sys- temic lupus erythematosus. Clin Neurol Neurosurg 1999;101:62-7.
  • Mitsias P, Levine SR. Large cerebral vessel occlusive disease in systemic lupus erythematosus. Neurology 1994;44(3 Pt 1):385-93.
  • Youl BD, Coutellier A, Dubois B, Leger JM, Bousser MG. Three cases of spontaneous extracranial verte- bral artery dissection. Stroke 1990;21:618-25.
  • Sclair M, Nassar H, Bar-Ziv Y, Putterman C. Dissecting aortic aneurysm in systemic lupus erythematosus. Lupus 1995;4:71-4.

Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu

Year 2009, Volume: 2009 Issue: 4, 351 - 355, 01.04.2009

Abstract

Servikokranial arter diseksiyonu iskemik inmeler arasında özellikle genç yaşta oldukça sık rastlanan bir durumdur. Nadiren iskeminin dışında hemoraji ile de prezente olabilir. Sistemik lupus eritematozus genellikle serebral büyük damarlarda inflamatuar vaskülopati ile oklüzyona neden olmakla birlikte nadir arter diseksiyon nedenleri arasında yer almaktadır. Bu yazıda bilateral vertebral arter diseksiyonu sonucu iskemi ve subaraknoid kanamanın beraber izlendiği bir olgu sunulmaktadır.

References

  • Leys D, Lucas C, Gobert M, Deklunder G, Pruvo JP. Cervical artery dissections. Eur Neurol 1997;37:3-12.
  • Stahmer SA, Raps EC, Mines DI. Carotid and verte- bral artery dissections. Emerg Med Clin North Am 1997;15:677-98.
  • Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001;344:898-906.
  • Mokri B, Houser OW, Sandok BA, Piepgras DG. Spontaneous dissections of the vertebral arteries. Neurology 1988;38:880-5.
  • Schievink WI, Mokri B, O'Fallon WM. Recurrent spontaneous cervical-artery dissection. N Engl J Med 1994;330:393-7.
  • Leys D, Moulin T, Stojkovic T, Begey S, Chavot D, DONALD Investigators. Follow-up of patients with history of cervical artery dissection. Cerebrovasc Dis 1995;5:43-9.
  • Bassetti C, Carruzzo A, Sturzenegger M, Tuncdogan E. Recurrence of cervical artery dissection. A pro- spective study of 81 patients. Stroke 1996;27:1804-7.
  • García-Moncó JC, Fernández Cantón G, Gómez Beldarrain M. Bilateral vertebral artery dissection in a patient with afibrinogenemia. Stroke 1996;27:2325-7.
  • de Bray JM, Penisson-Besnier I, Dubas F, Emile J. Extracranial and intracranial vertebrobasilar dissec- tions: diagnosis and prognosis. J Neurol Neurosurg Psychiatry 1997;63:46-51.
  • Chang AJ, Mylonakis E, Karanasias P, De Orchis DF, Gold R. Spontaneous bilateral vertebral artery dis- sections: case report and literature review. Mayo Clin Proc 1999;74:893-6.
  • Silbert PL, Mokri B, Schievink WI. Headache and neck pain in spontaneous internal carotid and verte- bral artery dissections. Neurology 1995;45:1517-22.
  • Spalloni A, Ferrari M, Beccia M, Bracalello A, Rasura M. Bilateral spontaneous dissection of the internal carotid arteries. Eur J Neurol 2004;11:69-70.
  • Kwon SU, Koh JY, Kim JS. Vertebrobasilar artery territory infarction as an initial manifestation of sys- temic lupus erythematosus. Clin Neurol Neurosurg 1999;101:62-7.
  • Mitsias P, Levine SR. Large cerebral vessel occlusive disease in systemic lupus erythematosus. Neurology 1994;44(3 Pt 1):385-93.
  • Youl BD, Coutellier A, Dubois B, Leger JM, Bousser MG. Three cases of spontaneous extracranial verte- bral artery dissection. Stroke 1990;21:618-25.
  • Sclair M, Nassar H, Bar-Ziv Y, Putterman C. Dissecting aortic aneurysm in systemic lupus erythematosus. Lupus 1995;4:71-4.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Kadriye Ağan This is me

Nazire Afşar This is me

Ayça Sun This is me

Sevinç Aktan This is me

Publication Date April 1, 2009
Published in Issue Year 2009 Volume: 2009 Issue: 4

Cite

APA Ağan, K., Afşar, N., Sun, A., Aktan, S. (2009). Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu. Balkan Medical Journal, 2009(4), 351-355.
AMA Ağan K, Afşar N, Sun A, Aktan S. Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu. Balkan Medical Journal. April 2009;2009(4):351-355.
Chicago Ağan, Kadriye, Nazire Afşar, Ayça Sun, and Sevinç Aktan. “Bilateral Vertebral Arter Diseksiyonu Ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu”. Balkan Medical Journal 2009, no. 4 (April 2009): 351-55.
EndNote Ağan K, Afşar N, Sun A, Aktan S (April 1, 2009) Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu. Balkan Medical Journal 2009 4 351–355.
IEEE K. Ağan, N. Afşar, A. Sun, and S. Aktan, “Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu”, Balkan Medical Journal, vol. 2009, no. 4, pp. 351–355, 2009.
ISNAD Ağan, Kadriye et al. “Bilateral Vertebral Arter Diseksiyonu Ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu”. Balkan Medical Journal 2009/4 (April 2009), 351-355.
JAMA Ağan K, Afşar N, Sun A, Aktan S. Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu. Balkan Medical Journal. 2009;2009:351–355.
MLA Ağan, Kadriye et al. “Bilateral Vertebral Arter Diseksiyonu Ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu”. Balkan Medical Journal, vol. 2009, no. 4, 2009, pp. 351-5.
Vancouver Ağan K, Afşar N, Sun A, Aktan S. Bilateral Vertebral Arter Diseksiyonu ile Ortaya Çıkan Sistemik Lupus Eritematozus: Olgu Sunumu. Balkan Medical Journal. 2009;2009(4):351-5.