| Period | 2024-07-01~2024-07-31 |
|---|---|
| Diagnosis | Neuro-Behcet disease |
| Gender |
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| Age | 61 |
| Clinical information | F/61, C.C: Headache, Diplopia, General weakness History: 10년 전부터 oral, genital ulcers로 피부과 f/u 중 |
| Discussion | Neuro-Behcet disease • Chronic, idiopathic, relapsing-remitting, multisystem, inflammatory vascular disease • Recurrent oral/genital ulcer, aphthous stomatitis, uveitis and iridocyclitis, multiple arthralgia • 20-25% involve CNS: Neurobehcet disease • Image finding Parenchymal lesion meningoencephalitis Brainstem (esp. cerebral peduncle, 50%)> thalamus, basal ganglia> cerebral WM, spinal cord T2/FLAIR hyperintensity in midbrain +/- mass effect Mild to moderate patchy enhancement Chronic – lacune, brainstem & cerebellar atrophy Nonparenchymal lesion Dural sinus or cortical venous thrombosis >> arterial occlusion, aneurysm |
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Correct Answer
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