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Neuro-Behçet’s Syndrome in a Patient not Fulfilling Criteria for Behçet’s Disease: Clinical Features and Value of Brain Imaging

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Abstract:

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.

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Authors and Affiliations

  1. Department of Rheumatology and Clinical Immunology, University Hospital of Freiburg, Germany, , , , , , DE

    S. M. Weiner & H. H. Peter

  2. Institute of Nuclear Medicine, University Hospital of Basel, Switzerland, , , , , , CH

    A. Otte

  3. Department of Neuroradiology, , , , , , DE

    M. Schumacher

  4. Department of Nuclear Medicine, , , , , , DE

    F. D. Juengling, I. Brink & E. U. Nitzsche

  5. Department of Gastroenterology, Hepatology and Endocrinology, University Hospital of Freiburg, Germany, , , , , , DE

    W. Kreisel

Authors
  1. S. M. Weiner
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  2. A. Otte
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  3. M. Schumacher
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  4. F. D. Juengling
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  5. I. Brink
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  6. E. U. Nitzsche
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  7. H. H. Peter
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  8. W. Kreisel
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Additional information

Received: 26 October 1999 / Accepted: 23 December 1999

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Weiner, S., Otte, A., Schumacher, M. et al. Neuro-Behçet’s Syndrome in a Patient not Fulfilling Criteria for Behçet’s Disease: Clinical Features and Value of Brain Imaging. Clin Rheumatol 19, 231–234 (2000). https://doi.org/10.1007/s100670050164

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  • DOI: https://doi.org/10.1007/s100670050164

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