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Neuro-Behcet's: a diagnostic challenge.

Mohan MC, Koya JM, Kandaswamy GV, Jaleel VA, Jimnaz PA, Manjuhasan S, Ravindran V - Oxf Med Case Reports (2015)

Bottom Line: Various viral encephalitides are important differential diagnoses.MRI may aid the correct diagnosis.This case report describes a patient with acute severe neurological involvement due to neuro-BD.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Internal Medicine , MES Medical College , Perinthalmanna, Kerala , India.

ABSTRACT
Behcet's disease (BD) is characterized by recurrent oral and genital ulcers and uveitis. It is also known to affect various organs; however, central nervous system involvement is rare and may cause parenchymal or vascular lesions with distinct clinical syndromes. Various viral encephalitides are important differential diagnoses. MRI may aid the correct diagnosis. This case report describes a patient with acute severe neurological involvement due to neuro-BD.

No MeSH data available.


Related in: MedlinePlus

Active ulcers in the genital area.
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OMV046F1: Active ulcers in the genital area.

Mentions: At the time of admission, she was stuporous and febrile (temperature 37.7°C) but without any haemodynamic instability. Genital lesions were noted in various stages ranging from healed scars to active ulcerations (Figs 1 and 2). Her neurological assessment revealed anisocoria and facial nerve palsy on the left side. A paucity of movements in response to pain was noted on the left side and was hypotonic on passive movement. Tendon reflexes were exaggerated on the left side and plantar response was extensor in keeping with an upper motor neuron paralysis of the left side. Signs of meningeal irritation were absent. Other systems on clinical examination were normal. With this clinical picture, several possibilities including infection, various causes of stroke in young people including vasculitis and connective tissue disorders such as lupus were considered.Figure 1:


Neuro-Behcet's: a diagnostic challenge.

Mohan MC, Koya JM, Kandaswamy GV, Jaleel VA, Jimnaz PA, Manjuhasan S, Ravindran V - Oxf Med Case Reports (2015)

Active ulcers in the genital area.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4584512&req=5

OMV046F1: Active ulcers in the genital area.
Mentions: At the time of admission, she was stuporous and febrile (temperature 37.7°C) but without any haemodynamic instability. Genital lesions were noted in various stages ranging from healed scars to active ulcerations (Figs 1 and 2). Her neurological assessment revealed anisocoria and facial nerve palsy on the left side. A paucity of movements in response to pain was noted on the left side and was hypotonic on passive movement. Tendon reflexes were exaggerated on the left side and plantar response was extensor in keeping with an upper motor neuron paralysis of the left side. Signs of meningeal irritation were absent. Other systems on clinical examination were normal. With this clinical picture, several possibilities including infection, various causes of stroke in young people including vasculitis and connective tissue disorders such as lupus were considered.Figure 1:

Bottom Line: Various viral encephalitides are important differential diagnoses.MRI may aid the correct diagnosis.This case report describes a patient with acute severe neurological involvement due to neuro-BD.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Internal Medicine , MES Medical College , Perinthalmanna, Kerala , India.

ABSTRACT
Behcet's disease (BD) is characterized by recurrent oral and genital ulcers and uveitis. It is also known to affect various organs; however, central nervous system involvement is rare and may cause parenchymal or vascular lesions with distinct clinical syndromes. Various viral encephalitides are important differential diagnoses. MRI may aid the correct diagnosis. This case report describes a patient with acute severe neurological involvement due to neuro-BD.

No MeSH data available.


Related in: MedlinePlus