PMID- 31981998 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20210623 IS - 1872-6968 (Electronic) IS - 0303-8467 (Linking) VI - 191 DP - 2020 Apr TI - Recurrent intracranial hemorrhage and cerebral venous sinus thrombosis: an atypical case of Neuro-Behcet's Syndrome. PG - 105680 LID - S0303-8467(20)30023-8 [pii] LID - 10.1016/j.clineuro.2020.105680 [doi] AB - We report the case of a 22-year-old man with an history of headaches, seizures, cognitive impairment associated with recurrent intracranial hemorrhage (ICH), acute ischemic stroke (AIS), worsened over the last eighteen months for a new onset of uveitis and cerebral venous sinus thrombosis (CVST). After excluding common causes of lobar ICH, and some rare ones according to the diagnostic protocol proposed by Beuker et al, in the suspicion of Primary Angiitis of the Central Nervous System (PACNS), the gradual development of a low-grade fever, a cutaneous rash, and a papulopustular manifestation on lower back after rachicentesis (pathergy phenomenon), allowed us to make a diagnosis of Neuro-Behcet's Syndrome (NBS) without oral/genital aphthous ulcerations, according to the International Study Group for Behcet's Disease classification criteria for BD (ICBD). CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Giammello, Fabrizio AU - Giammello F AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Dell'Aera, Cristina AU - Dell'Aera C AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Grillo, Francesco AU - Grillo F AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Cotroneo, Masina AU - Cotroneo M AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. Electronic address: cotroneomasina@gmail.com. FAU - Casella, Carmela AU - Casella C AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Fazio, Maria Carolina AU - Fazio MC AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - La Spina, Paolino AU - La Spina P AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Francalanza, Isabella AU - Francalanza I AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Fiorenza, Alessia AU - Fiorenza A AD - Rheumatology Unit, University of Messina, Italy. FAU - Toscano, Antonio AU - Toscano A AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. FAU - Atzeni, Fabiola AU - Atzeni F AD - Rheumatology Unit, University of Messina, Italy. FAU - Musolino, Rosa Fortunata AU - Musolino RF AD - Department of Clinical and Experimental Medicine, AOU Policlinico G. Martino, University of Messina, Messina, Italy. LA - eng PT - Case Reports DEP - 20200115 PL - Netherlands TA - Clin Neurol Neurosurg JT - Clinical neurology and neurosurgery JID - 7502039 RN - Primary angiitis of the central nervous system SB - IM MH - Behcet Syndrome/*diagnosis/physiopathology MH - Cerebral Angiography MH - Cognitive Dysfunction/physiopathology MH - Headache/physiopathology MH - Humans MH - Intracranial Hemorrhages/*diagnostic imaging/physiopathology MH - Magnetic Resonance Angiography MH - Male MH - Recurrence MH - Seizures/physiopathology MH - Sinus Thrombosis, Intracranial/*diagnostic imaging/physiopathology MH - Vasculitis, Central Nervous System/*diagnosis/physiopathology MH - Young Adult OTO - NOTNLM OT - CVST OT - Neurobehcet OT - PACNS OT - anti-TNF-alpha EDAT- 2020/01/26 06:00 MHDA- 2021/06/24 06:00 CRDT- 2020/01/26 06:00 PHST- 2019/12/03 00:00 [received] PHST- 2020/01/10 00:00 [revised] PHST- 2020/01/13 00:00 [accepted] PHST- 2020/01/26 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2020/01/26 06:00 [entrez] AID - S0303-8467(20)30023-8 [pii] AID - 10.1016/j.clineuro.2020.105680 [doi] PST - ppublish SO - Clin Neurol Neurosurg. 2020 Apr;191:105680. doi: 10.1016/j.clineuro.2020.105680. Epub 2020 Jan 15.