ABSTRACT
Behçet's disease is a rare disease characterised by recurrent oral ulcers, with systemic manifestations including genital ulcers, ocular disease, skin lesions, gastrointestinal disease, neurologic disease, vascular disease and arthritis. Most clinical manifestations of Behçet's disease are believed to be due to vasculitis. The heterogeneous clinical spectrum is influenced by sex, ethnicity and country of residence. Vascular manifestation in the form of isolated large brachial artery aneurysm is rare in children. Treatment involves aneurysmorrhaphy to avoid rupture or ischaemic sequelae in addition to lifelong medical management to control vasculitis.
Subject(s)
Aneurysm/diagnostic imaging , Behcet Syndrome/diagnosis , Brachial Artery/diagnostic imaging , Thrombosis/diagnostic imaging , Aneurysm/etiology , Aneurysm/pathology , Aneurysm/surgery , Antibodies, Antinuclear/immunology , Behcet Syndrome/complications , Behcet Syndrome/immunology , Behcet Syndrome/pathology , Blood Sedimentation , Brachial Artery/pathology , Brachial Artery/surgery , C-Reactive Protein/immunology , Child, Preschool , Computed Tomography Angiography , HLA-B51 Antigen/immunology , Humans , Male , Saphenous Vein/transplantation , Thrombosis/etiology , Thrombosis/pathology , Thrombosis/surgery , Vascular Grafting/methodsABSTRACT
We describe three patients with high grade supratentorial gliomas who were operated and later presented with cerebellar mass lesions on the opposite side. Supratentorial infarct with crossed cerebellar atrophy is a well-known entity called crossed cerebellar diaschisis. We hypothesize that supratentorial high grade tumours might also spread to the opposite cerebellum through crossed cerebrocerebellar fiber tracts similar to crossed cerebellar diaschisis.