Certal Mariana, Alves Ana Sofia, Santos Marta B, Salvador Fernando, Mendes Michel
Internal Medicine, Unidade Local de Saúde (ULS) de Trás-os-Montes e Alto Douro, Chaves, PRT.
Internal Medicine, Unidade Local de Saúde (ULS) de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus. 2024 Aug 30;16(8):e68236. doi: 10.7759/cureus.68236. eCollection 2024 Aug.
Behçet's disease (BD), also called neuro-Behçet (NB), is a multisystem inflammatory disease that can affect the nervous system. The authors hereby present the case of a 46-year-old woman with a previous diagnosis of BD with cutaneous, articular, and ocular involvement. The patient was admitted to the emergency room with intense posterior cervical pain, right eyelid ptosis accompanied by anisocoria, left arm hemiparesis, left hemihypoesthesia, right dysmetria, and postural instability. A cerebral MRI revealed a right laterobulbar oval T2 hyperintense lesion, suggesting a diagnosis of NB. Treatment with methylprednisolone pulses and, later, azathioprine was then started. The patient showed progressive improvement in her clinical condition and an imagological resolution of the bulbar lesion. This case highlights the importance of an accurate diagnosis - based on clinical history and imaging studies - for an early initiation of the specific therapy.
白塞病(BD),也称为神经白塞病(NB),是一种可累及神经系统的多系统炎症性疾病。作者在此介绍一例46岁女性病例,该患者先前被诊断为患有皮肤、关节和眼部受累的白塞病。患者因剧烈的颈后部疼痛、右眼睑下垂伴瞳孔不等大、左臂偏瘫、左半身感觉减退、右辨距不良和姿势不稳而被送入急诊室。脑部磁共振成像(MRI)显示右侧延髓外侧椭圆形T2高信号病变,提示诊断为神经白塞病。随后开始用甲泼尼龙冲击治疗,之后使用硫唑嘌呤。患者的临床状况逐渐改善,延髓病变在影像学上得到消退。该病例强调了基于临床病史和影像学研究进行准确诊断对于早期开始特异性治疗的重要性。