Neuro-Behçet's Syndrome in a Patient not Fulfilling Criteria for Behçet's Disease: Clinical Features and Value of Brain Imaging
| Autor: | W. Kreisel, Freimut D. Juengling, S. M. Weiner, Andreas Otte, Hans-Hartmut Peter, Egbert U. Nitzsche, M Schumacher, I. Brink |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Behcet's disease Rheumatology Neuroimaging Central Nervous System Diseases Fluorodeoxyglucose F18 Prednisone Vertigo medicine Humans Diplopia biology medicine.diagnostic_test business.industry Behcet Syndrome General Medicine medicine.disease biology.organism_classification Magnetic Resonance Imaging Venous thrombosis Positron emission tomography Radiology Radiopharmaceuticals medicine.symptom Differential diagnosis business Tomography Emission-Computed medicine.drug |
| Zdroj: | Clinical Rheumatology. 19:231-234 |
| ISSN: | 1434-9949 0770-3198 |
| DOI: | 10.1007/s100670050164 |
| Popis: | Central nervous system involvement is rarely an initial presenting manifestation of Behçet's disease (BD). We report the case of a 33-year-old man with recurrent attacks of fever, oral mucosal ulcers, deep venous thrombosis, diplopia, vertigo and headache. Sequential brain magnetic resonance imaging (MRI) scans showed fluctuating lesions of the brain stem, mesencephalon and thalamus. F-18-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) revealed hypometabolism at the parieto-occipital cortex at both sides and the brain stem. Treatment with prednisone and cyclosporine A led to a complete remission and normalisation of MRI and FDG-PET lesions. The present case illustrates the difficulty in the differential diagnosis of early neuro-BD. |
| Databáze: | OpenAIRE |
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