Case Report


Neuro-Behçet’s syndrome presented as multiple brain lesions

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1 Military Hospital Mohammed V, Radiology Department, Rabat, Morocco

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Amalik Sanae

Military Hospital Mohammed V, Radiology Department, Rabat,

Morocco

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Article ID: 101221Z01AS2021

doi: 10.5348/101221Z01AS2021CR

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How to cite this article

Sanae A, Kaoutar I, Ouadie EM, Hassan EN. Neuro-Behçet’s syndrome presented as multiple brain lesions. Int J Case Rep Images 2021;12:101221Z01AS2021.

ABSTRACT


Introduction: Behçet’s syndrome is a multisystemic, chronic inflammatory disease characterized by recurrent oral and genital ulcers, ocular inflammation, arthritis, and skin lesions. Neurological impairment makes the severity of Behçet’s disease, it most often occurs during its evolution and can be concomitant or inaugural. We describe a case of neuro-Behçet’s syndrome presenting with features mimicking brain tumors.

Case Report: We report the case of a 38-year-old man admitted to the emergency department for progressive tetraparesia associated with vomiting and headache. Regarding the magnetic resonance imaging (MRI) aspect, the diagnosis of brain tumor was first suspected, but the diagnosis was rectified considering the history of Behçet’s disease and the existence of bipolar aphtosis. The patient was transferred to the neurology department for management.

Conclusion: Neuro-Behçet’s disease is rare, including the pseudo-tumoral form, and can exceptionally be its initial mode of presentation. It can be established in two different patterns: parenchymal and non-parenchymal. Nowadays, the prognosis of neuro-Behçet’s disease is improved by early management and better therapeutic codification.

Keywords: Brain tumor, MRI, Neuro-Behçet’s disease

SUPPORTING INFORMATION


Author Contributions

Amalik Sanae - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Imrani Kaoutar - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published

El Menaoui Ouadie - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

En Nouali Hassan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Amalik Sanae et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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