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

  • ISHIDA Chiho
    Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Science
  • FURUI Eisuke
    Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Science
  • SAKASHITA Yasuo
    Department of Neurology, Tonami General Hospital
  • YAMADA Masahito
    Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Science

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タイトル別名
  • Embolic Stroke with a Patent Foramen Ovale and Behcet's Disease

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We report a case of a 53-year-old man with Behçet’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.

収録刊行物

  • Internal Medicine

    Internal Medicine 44 (4), 326-327, 2005

    一般社団法人 日本内科学会

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