Case Report
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Neuro-Behçet Presenting with Venous Sinus Thrombosis: Case Report

Year 2018, Volume: 20 Issue: 3, 90 - 92, 11.12.2018
https://doi.org/10.18678/dtfd.458172

Abstract

Behçet disease is an inflammatory disease of unknown etiology with multisystem involvement. Central nervous system (CNS) involvement is rare, but may sometimes been before the other systems involvements. CNS involvement is seen in 5-15% of the cases. Early diagnosis and treatment is critical in terms of prevent the sequellae. CNS involvement could be the first reason of the patient to consult the hospital in the cases that carry the fundamental criteria for Behçet disease diagnosis, but not diagnosed yet. In this report, we presented a neurobehçet case admitted to hospital due to severe headache and diplopia, and detecting cerebral vein thrombosis resulting from Behçet disease in etiology. We found this case worth to present since the etiological reason forms the treatment in venous sinus thrombosis and our patient was diagnosed neuro-behçet before than the Behçet disease.

References

  • Referans1. Behcet H. Über residivierende, aphtöse durch ein Virüs verursachte Geschwüre am Mund, am Auge und an den Genitalien. Derm Wschr 1937; 105: 1152-7.
  • Referans2. Verity DH, Marr JE, Ohno S (1999) Behçet’s disease, the Silk Road and HLA-B51: historical and geographical perspectives. Tissue Antigens 54:213–220.
  • Referans3. Serdaroglu P. Behcet’s disease and the nervous system. J Neurol. 1998;245:197–205.
  • Referans4. Farah S, Al-Shubaili A, Montaser A, Hussein JM, Malaviya AN, Mukhtar M, et al. Behcet’s syndrome: a report of 41 patients with emphasis on neurological manifestations. J Neurol Neurosurg Psychiatry. 1998;64:382–4.
  • Referans5. Akman-Demir G, Serdaroglu P, Tasci B. Clinical patterns of neurological involvement in Behcet’s disease: evaluation of 200 patients. The Neuro-Behcet Study Group. Brain. 1999;122(Pt 11):2171–82.
  • Referans6. Kidd D, Steuer A, Denman AM, Rudge P. Neurological complications in Behcet’s syndrome. Brain. 1999;122(Pt 11):2183–94. Referans7. Siva A, Kantarci OH, Saip S, Altintas A, Hamuryudan V, Islak C, et al. Behcet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol. 2001;248:95–103.
  • Referans8. Al-Araji A, Kidd DP. Neuro-Behcet’s disease: epidemiology, clinical characteristics, and management. Lancet Neurol. 2009;8:192–204.
  • Referans9. Portero A, Herreras JM. Frosted branch angiitis diagnosed as neuro-Behçet: a diagnostic and etiologic dilemma. Case Rep Ophthalmol. 2011;2:170–5.
  • Referans10. Hatemi G, Yazici Y, Yazici H. Behçet’s syndrome. Rheum Dis Clin North Am. 2013;39:245–61.
  • Referans11. Criteria for diagnosis of Behçet's disease International Study Group for Behçet's Disease Lancet, 335 (8697) (1990), pp. 1078-1080.
  • Referans12. Saadatnia M, Fatehi F, Basiri K, et al. Cerebral venous sinus thrombosis risk factors. Int J Stroke 2009;4:111–23.
  • Referans13. Mayda Domaç F, Mısırlı H, Adıgüzel T, Mestan E. Serebral venöz sinüs trombozunda klinik, etyoloji ve prognoz. Türk Nöroloji Dergisi 2008;14:27-32.
  • Referans14. Weschler B, Vidailhet M, Piette JC, Bousser MG, Dell’Isola B, Bletry O, et al. Cerebral venous sinus thrombosis in Behçet’s disease: Long term follow-up of 25 cases. Neurology 1992;42: 614-8.
  • Referans15. Roriz M, Crassard I, Lechtman S, Saadoun D, Champion K, Wechsler B, et al. Can anticoagulation therapy in cerebral venous thrombosis associated with Behçet's disease be stopped without relapse? Rev Neurol (Paris). 2018 Mar;174(3):162-166.

Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu

Year 2018, Volume: 20 Issue: 3, 90 - 92, 11.12.2018
https://doi.org/10.18678/dtfd.458172

Abstract

Behçet hastalığı etiyolojisi bilinmeyen, multisistem tutulumlu enflamatuar bir hastalıktır. Santral sinir sistemi (SSS) tutulumu nadir olmakla birlikte bazen diğer sistem tutulumlarından önce olabilir. SSS tutulumu vakaların %5-15’inde görülmektedir. Erken teşhis ve tedavi, sekelleri önlemek açısından önemlidir. SSS tutulumu, Behçet hastalığı tanısı için gerekli kriterleri taşıyan, ancak henüz tanı almamış vakalarda hastaneye ilk başvuru nedeni olabilir. Bu yazıda, şiddetli baş ağrısı ve çift görme nedeniyle hastaneye başvuran ve tetkiklerinde serebral venöz sinüs trombozu tesbit edilip etiyolojide Behçet hastalığı çıkan nörobehçet olgumuzu sunduk. Venöz sinüs trombozunda etiyolojik neden tedaviyi şekillendirdiği ve hastamız Behçet hastalığıdan önce nörobehçet tanısı aldığı için sunmaya değer bulduk.

References

  • Referans1. Behcet H. Über residivierende, aphtöse durch ein Virüs verursachte Geschwüre am Mund, am Auge und an den Genitalien. Derm Wschr 1937; 105: 1152-7.
  • Referans2. Verity DH, Marr JE, Ohno S (1999) Behçet’s disease, the Silk Road and HLA-B51: historical and geographical perspectives. Tissue Antigens 54:213–220.
  • Referans3. Serdaroglu P. Behcet’s disease and the nervous system. J Neurol. 1998;245:197–205.
  • Referans4. Farah S, Al-Shubaili A, Montaser A, Hussein JM, Malaviya AN, Mukhtar M, et al. Behcet’s syndrome: a report of 41 patients with emphasis on neurological manifestations. J Neurol Neurosurg Psychiatry. 1998;64:382–4.
  • Referans5. Akman-Demir G, Serdaroglu P, Tasci B. Clinical patterns of neurological involvement in Behcet’s disease: evaluation of 200 patients. The Neuro-Behcet Study Group. Brain. 1999;122(Pt 11):2171–82.
  • Referans6. Kidd D, Steuer A, Denman AM, Rudge P. Neurological complications in Behcet’s syndrome. Brain. 1999;122(Pt 11):2183–94. Referans7. Siva A, Kantarci OH, Saip S, Altintas A, Hamuryudan V, Islak C, et al. Behcet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol. 2001;248:95–103.
  • Referans8. Al-Araji A, Kidd DP. Neuro-Behcet’s disease: epidemiology, clinical characteristics, and management. Lancet Neurol. 2009;8:192–204.
  • Referans9. Portero A, Herreras JM. Frosted branch angiitis diagnosed as neuro-Behçet: a diagnostic and etiologic dilemma. Case Rep Ophthalmol. 2011;2:170–5.
  • Referans10. Hatemi G, Yazici Y, Yazici H. Behçet’s syndrome. Rheum Dis Clin North Am. 2013;39:245–61.
  • Referans11. Criteria for diagnosis of Behçet's disease International Study Group for Behçet's Disease Lancet, 335 (8697) (1990), pp. 1078-1080.
  • Referans12. Saadatnia M, Fatehi F, Basiri K, et al. Cerebral venous sinus thrombosis risk factors. Int J Stroke 2009;4:111–23.
  • Referans13. Mayda Domaç F, Mısırlı H, Adıgüzel T, Mestan E. Serebral venöz sinüs trombozunda klinik, etyoloji ve prognoz. Türk Nöroloji Dergisi 2008;14:27-32.
  • Referans14. Weschler B, Vidailhet M, Piette JC, Bousser MG, Dell’Isola B, Bletry O, et al. Cerebral venous sinus thrombosis in Behçet’s disease: Long term follow-up of 25 cases. Neurology 1992;42: 614-8.
  • Referans15. Roriz M, Crassard I, Lechtman S, Saadoun D, Champion K, Wechsler B, et al. Can anticoagulation therapy in cerebral venous thrombosis associated with Behçet's disease be stopped without relapse? Rev Neurol (Paris). 2018 Mar;174(3):162-166.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Fatma Şimşek 0000-0003-1662-5534

Nuray Bilge 0000-0002-9328-1678

Publication Date December 11, 2018
Submission Date September 7, 2018
Published in Issue Year 2018 Volume: 20 Issue: 3

Cite

APA Şimşek, F., & Bilge, N. (2018). Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu. Duzce Medical Journal, 20(3), 90-92. https://doi.org/10.18678/dtfd.458172
AMA Şimşek F, Bilge N. Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu. Duzce Med J. December 2018;20(3):90-92. doi:10.18678/dtfd.458172
Chicago Şimşek, Fatma, and Nuray Bilge. “Venöz Sinüs Trombozu Ile Prezente Olan Nörobehçet: Olgu Sunumu”. Duzce Medical Journal 20, no. 3 (December 2018): 90-92. https://doi.org/10.18678/dtfd.458172.
EndNote Şimşek F, Bilge N (December 1, 2018) Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu. Duzce Medical Journal 20 3 90–92.
IEEE F. Şimşek and N. Bilge, “Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu”, Duzce Med J, vol. 20, no. 3, pp. 90–92, 2018, doi: 10.18678/dtfd.458172.
ISNAD Şimşek, Fatma - Bilge, Nuray. “Venöz Sinüs Trombozu Ile Prezente Olan Nörobehçet: Olgu Sunumu”. Duzce Medical Journal 20/3 (December 2018), 90-92. https://doi.org/10.18678/dtfd.458172.
JAMA Şimşek F, Bilge N. Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu. Duzce Med J. 2018;20:90–92.
MLA Şimşek, Fatma and Nuray Bilge. “Venöz Sinüs Trombozu Ile Prezente Olan Nörobehçet: Olgu Sunumu”. Duzce Medical Journal, vol. 20, no. 3, 2018, pp. 90-92, doi:10.18678/dtfd.458172.
Vancouver Şimşek F, Bilge N. Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu. Duzce Med J. 2018;20(3):90-2.