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Case No. 369
2015-04-01~2015-04-30
출제자 : 장진희
Hit : 326
| Period | 2015-04-01~2015-04-30 |
|---|---|
| Diagnosis | Behcet disease (Neurobehcet) |
| Clinical information | 56/M dysarthria, swallowing difficulty |
| Discussion | 답: Behcet disease (Neurobehcet) - 5~10% of CNS involvement, exacerbations and remissions - Pathology: clear venous vasculitis component in the CNS, especially brainstem - Neurologic manifestation: brainstem syndrome, meningoencephalitis, organic confusion syndrome - MR multiple high signal lesions with variable enhancement at mesodiencephalic junction lesion with edema extending along tracts in the brain stem and diencephalon involving ponto-bulbar region, mimicking brain stem tumors ring or nodular like enhancement hemorrhage can occasionally be detected |
| Correct answer |
Correct Answer
Semi-Correct Answer |