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Neurological Involvement in Behçet’s Disease

Yıl 2005, Cilt: 12 Sayı: 4, 239 - 242, 01.08.2005

Öz

Behçet's Disease is an episodic disorder of unknown aetiology or pathogenesis, characterized by recurrent oral and genital ulceration and panuveitis. Neurological involvement is well described in Behçet Disease, with prevalance rates of 2.2-50%. Neurological involvement most commonly is reported to manifest as brainstem or corticospinal tract syndromes, increased intracranial pressure mostly related to venous sinus thrombosis or aseptic meningitis, isolated behavioral symptoms, or isolated headache. The aim of this study was to report Neuro-Behçet Disease, describe their various characteristics and attempt to categorize the neurological presentations into characteristics clinical patterns. Key words: Behçet's Disease, Neurological involvement, Neuroimaging.

Kaynakça

  • Behçet H. Über residivierende aphtöse durch ein virusverursachtes Geschwür am Mund, am Auge, und an den Genitalien. Dermatol Wochenschr 1938; 105:1152-1157.
  • Kidd D, Steuer A, Denman AM, Rudge P. Neurological complications in Behçet’s syndrome. Brain 1999; 122:2183-2194.
  • Saylan T, Mat C, Fresko İ, Melikoğlu M. Behçet’s Disease in the Middle East. Clinics in Dermatology 1999; 17:209-223.
  • Serdaroğlu P. Behçet’s disease and the nervous system. J Neurol 1998; 245:197-205.
  • Serdaroğlu P, Yazıcı H, Özdemir C, Yurdakul S, Bahar S, Aktin E. Neurological involvement in Behcet syndrome - a prospective study. Arch Neurol 1989;46:265-269.
  • Azizlerli G, Kose AA, Sarica R, Gul A, Tutkun IT, Kulac M, Tunc R, Urgancioglu M, Disci R. Prevalence of Behcet's disease in Istanbul. Int J Dermatol. 2003; 42:803-806.
  • Yurdakul S, Gunaydin I, Tuzun Y, Tankurt N, Pazarli H, Ozyazgan Y, Yazici H. The prevalence of Behcet's syndrome in a rural area in northern Turkey. J Rheumatol. 1988;15:820-822.
  • Bang DS, Oh SH, Lee KH, Lee ES, Lee SN. Influence of sex on patients with Behcet's disease in Korea. J Korean Med Sci. 2003;18:231-235.
  • Onder M, Gurer MA. The multiple faces of Behcet's disease and its aetiological factors. J Eur Acad Dermatol Venereol. 2001;15:126-136.
  • Gurler A, Boyvat A, Tursen U. Clinical manifestations of Behcet's disease: an analysis of 2147 patients. Yonsei Med J. 1997;38:423-437.
  • Al-Fahad AS, Al-Araji AH. Neuro-Behçet’s disease in Iraq: a study of 40 patients. Journal of the Neurological Sciences 1999; 170:105-111.
  • Siva A, Kantarcı OH, Saip S, Altıntaş A, Hamuryudan V, Islak C, Koçer N, Yazıcı H. Behçet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol 2001; 248:95-103.
  • Gerber S, Biondi A, Dormont D, Wechsler B, Marsault C. Long-term MR follow-up of cerebral lesions in neuro-Behçet’s disease. Neuroradiology 1996; 38:761-768.
  • Lee SH, Yoon PH, Park SJ, Kim DI. MRI Findings in Neuro-Behçet’s Disease. Clinical Radiology 2001; 56:485-494.
  • Talı ET, Atilla S, Keskin T, Simonson T, Işık S, Yuh WTC. MRI in neuro-Behçet’s disease. Neuroradiology 1997; 39:2-6.
  • Weiner SM, Otte A, Schumacher M, Juengling FD, Brink I, Nitzsche EU, Peter HH, Kreisel W. Neuro-Behçet’s Syndrome in a patient not fulfilling criteria for Behçet’s Disease: Clinical features and value of brain imaging. Clin Rheumatol 2000;19:231- 234.
  • Yoshioka H, Matsubara T, Miyanomae Y, Kawase S, Akioka S, Sawada T. Spinal cord in neuro-Behçet’s disease. Neuroradiology 1996; 38:661-662.
  • Harmouche H, Mouti O, Faris E, Aidi S, Benabdeljalil M, Chkili T. Myélite isolée et maladie de Behçet: trois observations. Rev Méd Interne 2000; 21: 1047-51.
  • Lafitte C, Servan J, Bleibel JM, Wechsler B, Delattre JY. Méningo-myélite révélatrice d’une maladie de Behçet. Rev Neurol 1996; 152:205-207.
  • Alper G, Yılmaz Y, Ekinci G, Köse Ö. Cerebral vein thrombosis in Behçet’s disease: a case report. Pediatr Neurol 2001;25:332-335.
  • Akman-Demir G, Serdaroğlu P, Taşçı B. Clinical patterns of neurological involvement in Behçet’s disease: evaluation of 200 patients. Brain 1999;122: 2171-2181.
  • Bogdanova D, Milanov I, Georgiev D. Parkinsonian syndrome as a neurological manifestation of Behcet's disease. Can J Neurol Sci. 1998; 25:82-5.
  • Guak TH, Kim YI, Park SM, Kim JS. Paroxysmal Focal Dystonia in Neuro-Behcet by a Small Ipsilateral Thalamic-Lesion. European Neurology 2002;47:183-184.

Behçet Hastalığında Nörolojik Tutulum

Yıl 2005, Cilt: 12 Sayı: 4, 239 - 242, 01.08.2005

Öz

Behçet hastalığı, heterojen, epizodik, patojenezi ve etiyolojisi tam olarak bilinmeyen bir multisistem inflamatuar hastalıktır. Tekrarlayan oral ve genital ülserler ve panüveit ile karakterizedir. Behçet Hastalığında nörolojik etkilenme iyi tanımlanmıştır ve prevalansı %2.2 ile %50 oranında bildirilir. Nörolojik tutulum olarak sıklıkla beyinsapı veya kortikospinal yol sendromları, çoğunlukla venöz sinus trombosu veya aseptik menenjite bağlı olarak gelişen artmış kafaiçi basıncı, davranışsal bozukluklar veya izole başağrısı tanımlanmıştır. Sunulan çalışmada akut nörolojik tutulumla Nöroloji Servisi'ne başvuran Behçet hastalığı olan hastalarda, nörolojik tutulum bulguları literatür eşliğinde gözden geçirildi. Anahtar kelimeler: Behçet Hastalığı, Nörolojik tutulum, Nörogörüntüleme.

Kaynakça

  • Behçet H. Über residivierende aphtöse durch ein virusverursachtes Geschwür am Mund, am Auge, und an den Genitalien. Dermatol Wochenschr 1938; 105:1152-1157.
  • Kidd D, Steuer A, Denman AM, Rudge P. Neurological complications in Behçet’s syndrome. Brain 1999; 122:2183-2194.
  • Saylan T, Mat C, Fresko İ, Melikoğlu M. Behçet’s Disease in the Middle East. Clinics in Dermatology 1999; 17:209-223.
  • Serdaroğlu P. Behçet’s disease and the nervous system. J Neurol 1998; 245:197-205.
  • Serdaroğlu P, Yazıcı H, Özdemir C, Yurdakul S, Bahar S, Aktin E. Neurological involvement in Behcet syndrome - a prospective study. Arch Neurol 1989;46:265-269.
  • Azizlerli G, Kose AA, Sarica R, Gul A, Tutkun IT, Kulac M, Tunc R, Urgancioglu M, Disci R. Prevalence of Behcet's disease in Istanbul. Int J Dermatol. 2003; 42:803-806.
  • Yurdakul S, Gunaydin I, Tuzun Y, Tankurt N, Pazarli H, Ozyazgan Y, Yazici H. The prevalence of Behcet's syndrome in a rural area in northern Turkey. J Rheumatol. 1988;15:820-822.
  • Bang DS, Oh SH, Lee KH, Lee ES, Lee SN. Influence of sex on patients with Behcet's disease in Korea. J Korean Med Sci. 2003;18:231-235.
  • Onder M, Gurer MA. The multiple faces of Behcet's disease and its aetiological factors. J Eur Acad Dermatol Venereol. 2001;15:126-136.
  • Gurler A, Boyvat A, Tursen U. Clinical manifestations of Behcet's disease: an analysis of 2147 patients. Yonsei Med J. 1997;38:423-437.
  • Al-Fahad AS, Al-Araji AH. Neuro-Behçet’s disease in Iraq: a study of 40 patients. Journal of the Neurological Sciences 1999; 170:105-111.
  • Siva A, Kantarcı OH, Saip S, Altıntaş A, Hamuryudan V, Islak C, Koçer N, Yazıcı H. Behçet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol 2001; 248:95-103.
  • Gerber S, Biondi A, Dormont D, Wechsler B, Marsault C. Long-term MR follow-up of cerebral lesions in neuro-Behçet’s disease. Neuroradiology 1996; 38:761-768.
  • Lee SH, Yoon PH, Park SJ, Kim DI. MRI Findings in Neuro-Behçet’s Disease. Clinical Radiology 2001; 56:485-494.
  • Talı ET, Atilla S, Keskin T, Simonson T, Işık S, Yuh WTC. MRI in neuro-Behçet’s disease. Neuroradiology 1997; 39:2-6.
  • Weiner SM, Otte A, Schumacher M, Juengling FD, Brink I, Nitzsche EU, Peter HH, Kreisel W. Neuro-Behçet’s Syndrome in a patient not fulfilling criteria for Behçet’s Disease: Clinical features and value of brain imaging. Clin Rheumatol 2000;19:231- 234.
  • Yoshioka H, Matsubara T, Miyanomae Y, Kawase S, Akioka S, Sawada T. Spinal cord in neuro-Behçet’s disease. Neuroradiology 1996; 38:661-662.
  • Harmouche H, Mouti O, Faris E, Aidi S, Benabdeljalil M, Chkili T. Myélite isolée et maladie de Behçet: trois observations. Rev Méd Interne 2000; 21: 1047-51.
  • Lafitte C, Servan J, Bleibel JM, Wechsler B, Delattre JY. Méningo-myélite révélatrice d’une maladie de Behçet. Rev Neurol 1996; 152:205-207.
  • Alper G, Yılmaz Y, Ekinci G, Köse Ö. Cerebral vein thrombosis in Behçet’s disease: a case report. Pediatr Neurol 2001;25:332-335.
  • Akman-Demir G, Serdaroğlu P, Taşçı B. Clinical patterns of neurological involvement in Behçet’s disease: evaluation of 200 patients. Brain 1999;122: 2171-2181.
  • Bogdanova D, Milanov I, Georgiev D. Parkinsonian syndrome as a neurological manifestation of Behcet's disease. Can J Neurol Sci. 1998; 25:82-5.
  • Guak TH, Kim YI, Park SM, Kim JS. Paroxysmal Focal Dystonia in Neuro-Behcet by a Small Ipsilateral Thalamic-Lesion. European Neurology 2002;47:183-184.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Handan Işın Özışık Bu kişi benim

Sibel Altınayar Bu kişi benim

A.Cemal Özcan Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2005
Yayımlandığı Sayı Yıl 2005 Cilt: 12 Sayı: 4

Kaynak Göster

APA Özışık, H. I., Altınayar, S., & Özcan, A. (2005). Behçet Hastalığında Nörolojik Tutulum. Journal of Turgut Ozal Medical Center, 12(4), 239-242.
AMA Özışık HI, Altınayar S, Özcan A. Behçet Hastalığında Nörolojik Tutulum. J Turgut Ozal Med Cent. Ağustos 2005;12(4):239-242.
Chicago Özışık, Handan Işın, Sibel Altınayar, ve A.Cemal Özcan. “Behçet Hastalığında Nörolojik Tutulum”. Journal of Turgut Ozal Medical Center 12, sy. 4 (Ağustos 2005): 239-42.
EndNote Özışık HI, Altınayar S, Özcan A (01 Ağustos 2005) Behçet Hastalığında Nörolojik Tutulum. Journal of Turgut Ozal Medical Center 12 4 239–242.
IEEE H. I. Özışık, S. Altınayar, ve A. Özcan, “Behçet Hastalığında Nörolojik Tutulum”, J Turgut Ozal Med Cent, c. 12, sy. 4, ss. 239–242, 2005.
ISNAD Özışık, Handan Işın vd. “Behçet Hastalığında Nörolojik Tutulum”. Journal of Turgut Ozal Medical Center 12/4 (Ağustos 2005), 239-242.
JAMA Özışık HI, Altınayar S, Özcan A. Behçet Hastalığında Nörolojik Tutulum. J Turgut Ozal Med Cent. 2005;12:239–242.
MLA Özışık, Handan Işın vd. “Behçet Hastalığında Nörolojik Tutulum”. Journal of Turgut Ozal Medical Center, c. 12, sy. 4, 2005, ss. 239-42.
Vancouver Özışık HI, Altınayar S, Özcan A. Behçet Hastalığında Nörolojik Tutulum. J Turgut Ozal Med Cent. 2005;12(4):239-42.