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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2006 August;165(4):181-5

language: English

Longitudinal MRI Findings in Suspected Neuro-Behçet’s Disease. A case report

Somay G. 1, Topaloglu P. 1, Araal Ö. 1, Murat Tektürk B. 2

1 Haydarpafla Numune Educational and Research Hospital, Neurology Clinic, Istanbul, Turkey;
2 Department of Radiology, Marmara University, Istanbul, Turkey


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We have presented a case who took the diagnosis of probable neuro-Behçet’s disease that was first presented with neurological sign and symptoms and showed spontaneous remission during the cranial magnetic resonance imaging follow-up. Involvement of the central nervous system usually follows systemic manifestations of Behçet’s disease by months to years but as the initial future is only 5% of cases. Some patients develop neuro-Behçet simultaneously with or prior to the full-blown picture of Behcet’s disease and this may cause confusion in the diagnosis. The neuroradiological features are well demonstrated in neuro-Behçet’s disease. Experience reveals that magnetic resonance imaging is more sensitive than computerized tomography in detecting abnormalities in neuro-Behçet’s disease. Most diffusely involved region is mesodiencephalic union and secondly pontobulber region.This case suggests that abnormal magnetic resonance findings in isole neuro-Behcet’s disease are potentially reversible and that radiographic improvement parallels clinical improvement.

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