ABSTRACT

Introduction: Behçet’s disease is known as an autoimmune disorder that is characterized by systemic inflammation. The disorder predominantly affects middle-aged individuals and is traditionally considered to be more prevalent in men. However, several reports point that number and ration of female patient have increased in recent years. In addition, several patient cases with significant disability due to vascular complications, such as thrombosis and aneurysms with stroke, have also been documented.

Case Report: An 87-year-old female patient with a medical history of Behçet’s disease presented with headaches as her primary complaint. No abnormalities were identified in the central nervous system. Blood pressure was also in normal range. However, subsequent head magnetic resonance imaging studies revealed a right vertebral artery (VA) dissection, which was considered the underlying cause of the headache. The patient was subjected to conservative management, with a satisfactory recovery ensuing without complications, such as hemorrhagic or ischemic stroke.

Conclusion: Vertebral artery dissection is most prevalent among middle-aged individuals; however, this case is atypical in that it occurred at an older age than is typically observed for the onset of the condition. Moreover, as a vascular lesion associated with Behçet’s disease, it was a rare occurrence because it manifested in the VA. Intracranial VA dissection is uncommon, which had been previously documented in few cases among middle-aged males with Behçet’s disease.