Rapid Atypical Progression of Neuro-Behcet's Disease Involving Whole Brainstem and Bilateral Thalami
Journal of Korean Neurosurgical Society
;
: 68-71, 2011.
Article
in English
| WPRIM
| ID: wpr-205273
ABSTRACT
We present a case of Neuro-Behcet's disease with an unpredictable clinical course. A 47-year-old man was admitted to the neurosurgery department of our hospital with a mild headache. Three days after admission, his consciousness suddenly decreased and respiratory distress progressed rapidly. A brain MRI revealed that the previously observed abnormal signal had extended markedly to both the thalamic areas and the entire brain stem, and the surrounding brain parenchyma were compressed by cerebral edema. Based on the patient's symptoms of recurrent oral and genital ulcers, skin lesions, and uveitis, a rheumatologist made a diagnosis of Behcet's disease with CNS involvement. The patient was treated with high-dose methylprednisolone with respiratory assistance in the intensive care unit for 9 days and his neurologic symptoms improved remarkably. Neuro-Behcet's disease must be considered in the differential diagnosis in rapidly deteriorated young neurological patients along with a stroke, low-grade glioma, multiple sclerosis, and occlusive venous disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin Ulcer
/
Uveitis
/
Brain
/
Brain Edema
/
Brain Stem
/
Methylprednisolone
/
Consciousness
/
Stroke
/
Diagnosis, Differential
/
Glioma
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2011
Type:
Article
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