Headache from cavernous sinus thrombosis in Adamantiades-Behçet disease.


A 24-year-old Russian man with a history of recurrent aphthous oral ulcers and a recent episode of genital ulcers presented with severe head and neck pain. Two days after the onset of his symptoms, the patient developed a fever (39-C) and sore throat and was treated for presumed pharyngitis. Four days before presentation, the patient noticed painful genital ulcers (Fig. A) and a rash on his forearm (Fig. B) consistent with folliculitis. The diagnosis of Adamantiades-Beh0et disease was made. A lumbar puncture was performed and was remarkable for an opening pressure of 540 mm Hg with normal cell count. Magnetic resonance venogram (Fig. C; arrowhead depicts lack of flow in transverse sinus) confirmed the diagnosis. The patient was treated with corticosteroids, colchicine, and azathioprine, and his symptoms resolved within weeks.

DOI: 10.1097/RHU.0b013e31820059ca


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@article{Efthimiou2010HeadacheFC, title={Headache from cavernous sinus thrombosis in Adamantiades-Behçet disease.}, author={Petros Efthimiou and Olga Petryna}, journal={Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases}, year={2010}, volume={16 8}, pages={409} }