Tokgoz Osman Serhat, Akpinar Zehra, Guney Figen, Seyithanoğlu Abdullah
Department of Neurology, Meram Medical Faculty, Konya University, Konya, Turkey.
J Korean Neurosurg Soc. 2012 Nov;52(5):488-90. doi: 10.3340/jkns.2012.52.5.488. Epub 2012 Nov 30.
Behçet's disease (BD) is an inflammatory systemic disorder with oral and genital ulcers, as well as ophthalmologic and cutaneous symptoms. Neurological manifestations in BD represent between 2.2% to 50% of the cases. The 25-year-old male patient, diagnosed with BD three years earlier, was admitted to our clinic with complaints of recurrent headaches. Tumor-like-parenchimal involvement was detected on a cranial magnetic resonance imaging. The lesion was removed surgically and then he suffered from right hemiparesis and epilepsy. Pathological examination of the lesion noted a demyelinating non-tumoural etiology. A neuro-Behğet's case with parenchymal involvement has been examined in light of the literature, in terms of a tumor and a demyelinating disease differential diagnosis.
白塞病（BD）是一种炎症性全身性疾病，伴有口腔和生殖器溃疡以及眼科和皮肤症状。BD的神经系统表现占病例的2.2%至50%。该25岁男性患者三年前被诊断为BD，因反复头痛主诉入住我院门诊。头颅磁共振成像检查发现类似肿瘤的实质受累。病变经手术切除，随后患者出现右半身轻瘫和癫痫。病变的病理检查显示为脱髓鞘非肿瘤性病因。本文结合文献，对一例伴有实质受累的神经白塞病病例进行了肿瘤与脱髓鞘疾病鉴别诊断方面的研究。
