Neuro-Behçet: differential diagnosis of recurrent meningitis

Behçet disease is a systemic inflammatory perivasculitis characterized by recurrent episodes oforal and genital ulcers associated with skin and ocular lesions. Neurological involvement occurs in 5 to 10% of the cases, and isolated meningeal involvement is very uncommon. We report a 21 years old man...

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Autores principales:	Fonseca Cardoso,Andreya, Rocha-Filho,Pedro Augusto, Melo Correa-Lima,Ana Rosa
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Behçet Syndrome Meningitis, Aseptic Nervous System Diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000100016
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spelling	oai:scielo:S0034-988720130001000162013-05-23Neuro-Behçet: differential diagnosis of recurrent meningitisFonseca Cardoso,AndreyaRocha-Filho,Pedro AugustoMelo Correa-Lima,Ana Rosa Behçet Syndrome Meningitis, Aseptic Nervous System Diseases Behçet disease is a systemic inflammatory perivasculitis characterized by recurrent episodes oforal and genital ulcers associated with skin and ocular lesions. Neurological involvement occurs in 5 to 10% of the cases, and isolated meningeal involvement is very uncommon. We report a 21 years old man with a Behçet disease and a history of acute meningeal syndrome in two previous crises and meningoencephalitis in three others. He reported a history of conjunctivitis and oral and genital ulcers. On examination, he presented oral aphthoid lesions, macular edema, involvement of cranial nerves, pyramidal signs and meningeal irritation. The cell count in cerebrospinal fluid was 1800 cells/mm³, with polymorphonuclear predominance. Magnetic resonance imaging showed lesions in basal ganglia and the brainstem. The patient improved dramatically after intravenous steroid therapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.1 20132013-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000100016en10.4067/S0034-98872013000100016
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Behçet Syndrome Meningitis, Aseptic Nervous System Diseases
spellingShingle	Behçet Syndrome Meningitis, Aseptic Nervous System Diseases Fonseca Cardoso,Andreya Rocha-Filho,Pedro Augusto Melo Correa-Lima,Ana Rosa Neuro-Behçet: differential diagnosis of recurrent meningitis
description	Behçet disease is a systemic inflammatory perivasculitis characterized by recurrent episodes oforal and genital ulcers associated with skin and ocular lesions. Neurological involvement occurs in 5 to 10% of the cases, and isolated meningeal involvement is very uncommon. We report a 21 years old man with a Behçet disease and a history of acute meningeal syndrome in two previous crises and meningoencephalitis in three others. He reported a history of conjunctivitis and oral and genital ulcers. On examination, he presented oral aphthoid lesions, macular edema, involvement of cranial nerves, pyramidal signs and meningeal irritation. The cell count in cerebrospinal fluid was 1800 cells/mm³, with polymorphonuclear predominance. Magnetic resonance imaging showed lesions in basal ganglia and the brainstem. The patient improved dramatically after intravenous steroid therapy.
author	Fonseca Cardoso,Andreya Rocha-Filho,Pedro Augusto Melo Correa-Lima,Ana Rosa
author_facet	Fonseca Cardoso,Andreya Rocha-Filho,Pedro Augusto Melo Correa-Lima,Ana Rosa
author_sort	Fonseca Cardoso,Andreya
title	Neuro-Behçet: differential diagnosis of recurrent meningitis
title_short	Neuro-Behçet: differential diagnosis of recurrent meningitis
title_full	Neuro-Behçet: differential diagnosis of recurrent meningitis
title_fullStr	Neuro-Behçet: differential diagnosis of recurrent meningitis
title_full_unstemmed	Neuro-Behçet: differential diagnosis of recurrent meningitis
title_sort	neuro-behçet: differential diagnosis of recurrent meningitis
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000100016
work_keys_str_mv	AT fonsecacardosoandreya neurobehcetdifferentialdiagnosisofrecurrentmeningitis AT rochafilhopedroaugusto neurobehcetdifferentialdiagnosisofrecurrentmeningitis AT melocorrealimaanarosa neurobehcetdifferentialdiagnosisofrecurrentmeningitis
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Neuro-Behçet: differential diagnosis of recurrent meningitis

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