Nörogörüntülemede Multipl Skleroz İle Karışan Bir Hastalık: Nöro-Behçet
Yıl 2013,
Özel Sayı, 47 - 49, 01.06.2013
Yasemin Topçu
Erhan Bayram
Gülçin Akıncı
Erbil Ünsal
Semra Hiz Kurul
Öz
Akut izole nörolojik sendrom multipl sklerozun en sık görülen semptomudur ve antifosfolipid sendromu, sistemik lupus eritematozus, Nöro-Behçet gibi hastalıkların ilk bulgusu olarak ortaya çıkabilmektedir. Demiyelinizan bulguları olan hastalar ise yanlışlıkla mutipl skleroz olarak değerlendirilebilmektedirler. Nöro-Behçet hastalığı manyetik rezonans görüntüleme bulguları ve klinik seyir açısından multipl skleroza benzeyebilen inflamatuvar bir hastalıktır. Burada demiyelinizan özellikleri bulunan hastaların ayırıcı tanısında akılda tutulması gerekliliğini vurgulamak ve nadir görülmesi açısından nöro-Behçet hastalığı tanısı alan 13 yaşında kız olgu sunuldu.
Kaynakça
- Al Kawi MZ, Bohlega S, Banna M. MRI findings in neuro-Behçet’s disease. Neurology 1991;41:405-8.
- Serdaroğlu P, Yazici H, Ozdemir C, Yurdakul S, Bahar S, Aktin E. Neurologic involvement in Behçet’s syndrome. A prospective study. Arch Neurol 1989;46:265-9.
- O’Duffy JD. Behçet’s disease. Curr Opin Rheumatol 1994;6(1): 39-43.
- Shimizu T, Ehrlich GE, Inaba G, Hayashi K. Behçet disease (Behçet syndrome). Semin Arthritis Rheum 1979;8:223-60.
- Mori M, Shimizu C, Kuriyama T, Ibe M, Mitsuda T, Aihara Y, et al. Behçet’s disease in childhood – case reports and review of literature (in Japanese). Ryumachi 1994;34:34-41.
- Ideguchi H, Suda A, Takeno M, Kirino Y, Ihata A, Ueda A, et al. Neurological manifestations of Behçet’s disease in Japan: A study of 54 patients. J Neurol 2010; 257:1012-20.
- Borhani-Haghighi A, Samangooie S, Ashjazadeh N, Nikseresht A, Shariat A, Yousefipour G, et al. Neurological manifestations of Behçet Disease. Saudi Med J 2006;27:1542-46.
- Akman-Demir G, Serdaroğlu P, Tasci B. Clinical patterns of neurological involvement in Behçet’s disease: Evaluation of 200 patients. The neuro-Behçet study group. Brain 1999;122(pt 11):2171-82.
- Pohl D, Rostasy K, Reiber H, Hanefeld F. CSF characteristics in early-onset multiple sclerosis. Neurology 2004;63:1966-7.
- Dale RC, Pillai SC. Early relapse risk after a first CNS inflammatory demyelination Episode: examining International consensus definitions. Dev Med Child Neurol 2007; 49:887-93.
- Neuteboom RF, Boon M, Catsman Berrevoets CE, Vles JS, Gooskens RH, Stroink H, et al. Prognostic factors after a first attack of inflammatory CNS demyelination in children. Neurology 2008;71:967-73.
- Atzori M, Battistella P, Perini P, Calabrese M, Fontanin M, Laverda AM, et al. Clinical and diagnostic aspects of multiple sclerosis and acute monophasic encephalomyelitis in pediatric patients: A single centre prospective study. Mult Scler 2009;15:363-70.
- Alper G, Wang L. Demyelinating optic neuritis in children. J Child Neurol 2009;24:45-8.
- Nakamura Y, Takahashi M, Kitaguchi M, Imaoka H, Tarui S. Brainstem auditory and somatosensory evoked potentials in Neuro-Behcet’s syndrome. Jpn J Psychiatry Neurol 1989;43: 191-200.
- Stigsby B, Bohlega S, al-Kawi MZ, al-Dalaan A, el-Ramahi K. Evoked potential findings in Behçet’s disease. Brain-stem auditory, visual, and somatosensory evoked potentials in 44 patients. Electroencephalogr Clin Neurophysiol 1994;92:273-81.
- Turker H, Terzi M, Bayrak O, Cengiz N, Onar M, Us O.Visual evoked potentials in differential diagnosis of multiple sclerosis and neurobehcet’s disease. Tohoku J Exp Med 2008;216:109-16.
A Disease Confused with Multiple Sclerosis in Neuroimaging:
Neuro-Behçet
Yıl 2013,
Özel Sayı, 47 - 49, 01.06.2013
Yasemin Topçu
Erhan Bayram
Gülçin Akıncı
Erbil Ünsal
Semra Hiz Kurul
Öz
Acute isolated neurological syndrome is the most common symptom in multiple sclerosis but can also be the only feature or first manifestation in antiphospholipid syndrome, systemic lupus erythematosus and neuro-Behçet’s disease. Patients with demyelinating features may be given the false label of multiple sclerosis. Neuro-Behçet’s disease is an inflammatory disorder where the magnetic resonance imaging findings and clinical course may mimic multiple sclerosis. Here we present a 13 year-old girl with neuro-Behçet’s disease in terms of rarity and review of the differential diagnosis of demyelinating features
Kaynakça
- Al Kawi MZ, Bohlega S, Banna M. MRI findings in neuro-Behçet’s disease. Neurology 1991;41:405-8.
- Serdaroğlu P, Yazici H, Ozdemir C, Yurdakul S, Bahar S, Aktin E. Neurologic involvement in Behçet’s syndrome. A prospective study. Arch Neurol 1989;46:265-9.
- O’Duffy JD. Behçet’s disease. Curr Opin Rheumatol 1994;6(1): 39-43.
- Shimizu T, Ehrlich GE, Inaba G, Hayashi K. Behçet disease (Behçet syndrome). Semin Arthritis Rheum 1979;8:223-60.
- Mori M, Shimizu C, Kuriyama T, Ibe M, Mitsuda T, Aihara Y, et al. Behçet’s disease in childhood – case reports and review of literature (in Japanese). Ryumachi 1994;34:34-41.
- Ideguchi H, Suda A, Takeno M, Kirino Y, Ihata A, Ueda A, et al. Neurological manifestations of Behçet’s disease in Japan: A study of 54 patients. J Neurol 2010; 257:1012-20.
- Borhani-Haghighi A, Samangooie S, Ashjazadeh N, Nikseresht A, Shariat A, Yousefipour G, et al. Neurological manifestations of Behçet Disease. Saudi Med J 2006;27:1542-46.
- Akman-Demir G, Serdaroğlu P, Tasci B. Clinical patterns of neurological involvement in Behçet’s disease: Evaluation of 200 patients. The neuro-Behçet study group. Brain 1999;122(pt 11):2171-82.
- Pohl D, Rostasy K, Reiber H, Hanefeld F. CSF characteristics in early-onset multiple sclerosis. Neurology 2004;63:1966-7.
- Dale RC, Pillai SC. Early relapse risk after a first CNS inflammatory demyelination Episode: examining International consensus definitions. Dev Med Child Neurol 2007; 49:887-93.
- Neuteboom RF, Boon M, Catsman Berrevoets CE, Vles JS, Gooskens RH, Stroink H, et al. Prognostic factors after a first attack of inflammatory CNS demyelination in children. Neurology 2008;71:967-73.
- Atzori M, Battistella P, Perini P, Calabrese M, Fontanin M, Laverda AM, et al. Clinical and diagnostic aspects of multiple sclerosis and acute monophasic encephalomyelitis in pediatric patients: A single centre prospective study. Mult Scler 2009;15:363-70.
- Alper G, Wang L. Demyelinating optic neuritis in children. J Child Neurol 2009;24:45-8.
- Nakamura Y, Takahashi M, Kitaguchi M, Imaoka H, Tarui S. Brainstem auditory and somatosensory evoked potentials in Neuro-Behcet’s syndrome. Jpn J Psychiatry Neurol 1989;43: 191-200.
- Stigsby B, Bohlega S, al-Kawi MZ, al-Dalaan A, el-Ramahi K. Evoked potential findings in Behçet’s disease. Brain-stem auditory, visual, and somatosensory evoked potentials in 44 patients. Electroencephalogr Clin Neurophysiol 1994;92:273-81.
- Turker H, Terzi M, Bayrak O, Cengiz N, Onar M, Us O.Visual evoked potentials in differential diagnosis of multiple sclerosis and neurobehcet’s disease. Tohoku J Exp Med 2008;216:109-16.