A clinical case of neuro-Behçet syndrome without mucocutaneo-ocular symptoms: Relationship with brain stem encephalitis |
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| Authors: | YOICHI KAWANISHI md TAKAFUMI HORI md TOSHIHITO SUZUKI md KATSUYOSHI MIZUKAMI md MEGUMI SASAKI md HIROYASU SHIRAISHI md |
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| Affiliation: | Psychiatric Service, University of Tsukuba Hospital, and University of Tsukuba, Ibaraki, Japan;Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan |
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| Abstract: | Abstract The case of a 50 year old man with personality changes, dementia, and brain stem symptoms is presented. Magnetic resonance imaging (MRI) disclosed high signal areas mainly in the brain stem. Both a positive skin prick test and an HLA-B51 were demonstrated. These clinical findings were suggestive of neuro-Behçet syndrome, although there were no mucocutaneo-ocular symptoms characteristically associated with this disease. The relationship between neuro-Behçet syndrome and brain stem encephalitis, including a discrimination from multiple sclerosis, is discussed. |
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| Keywords: | HLA-B51 multiple sclerosis skin prick test. |
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