[神经白塞病的假瘤样表现：秋水仙碱撤药的作用？]
[Pseudotumorous presentation of neuro-Behçet: role of the withdrawal of colchicine?].
作者信息
Vignes S, Vidailhet M, Dormont D, Soulié J, Wechsler B
机构信息
Service de médecine interne, hôpital de la Pitié-Salpétrière, Paris.
出版信息
Rev Med Interne. 1998 Jan;19(1):55-9. doi: 10.1016/s0248-8663(97)83701-0.
BACKGROUND
Neurological involvement occurs in 10 to 28% of patients with Behçet's disease.
CASE REPORT
We report a case of neurological pseudotumoral presentation of Behçet's in a patient with a long standing disease treated with low dose of prednisone and colchicine (1 mg/day), 2 months after withdrawal of colchicine.
CONCLUSION
Neurological manifestations during Behçet disease can be secondary to direct central nervous system involvement (encephalitis, encephalomyelitis) or vascular angitis (essentially cerebral venous thrombosis and, rarely, intracranial aneurysms). Neurological pseudotumoral presentation is rarely reported.
背景
白塞病患者中10%至28%会出现神经受累情况。
病例报告
我们报告一例长期患病的白塞病患者出现神经假瘤样表现的病例，该患者一直使用低剂量泼尼松和秋水仙碱（1毫克/天）治疗，在停用秋水仙碱2个月后发病。
结论
白塞病期间的神经表现可能继发于中枢神经系统直接受累（脑炎、脑脊髓炎）或血管性血管炎（主要是脑静脉血栓形成，颅内动脉瘤罕见）。神经假瘤样表现鲜有报道。
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