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Published on: July 19, 2019
[MRI findings in neuro-Behcet's disease]
1Service d'Imagerie Médicale, Hôpital Charles Nicolle, Boulevard 9 Avril 1938, 1006 Tunis, Tunisie. najla.mnif@rns.tn
Purpose:
Describe the patterns and location of lesions seen on MR imaging in neuro-Behçet's disease.
Observations:
33 patients with neuro-Behçet's disease (mean age: 27 years) imaged by MRI were reviewed. Most common neurologic symptoms included headaches and pyramidal signs. MRI examinations (Siemens Magnetom Impact 1 Tesla) included the following sequences: T1wi, T2wi, Flair, MPR-3D and MRA sequences.
Results:
Parenchymal lesions were identified in 21 patients. Brainstem, internal capsule, cerebral white matter, basal ganglia were involved respectively in 14, 10, 7, and 5 cases. Vascular thrombosis (venous: n=7; arterial: n=1) were observed in eight. MRI was normal in four patients.
Conclusion:
This study shows the value of MR imaging for the exploration of parenchymal lesions of neuro-Behçet's and confirms the frequency of brainstem involvement.
Insights
Magnetic Resonance Imaging (MRI) reveals characteristic patterns of brain lesions in neuro-Behçet's disease, frequently affecting the brainstem. This study highlights MRI's value in diagnosing neuro-Behçet's disease and identifying parenchymal abnormalities.
Area of Science:
- Neurology
- Radiology
- Immunology
Context:
- Neuro-Behçet's disease is a rare inflammatory condition affecting the central nervous system.
- Neurological symptoms, including headaches and pyramidal signs, are common presentations.
- Magnetic Resonance Imaging (MRI) is a crucial diagnostic tool for evaluating CNS involvement.
Purpose:
- To delineate the typical patterns and anatomical locations of lesions in neuro-Behçet's disease using MRI.
- To assess the utility of various MRI sequences in detecting neuroinflammatory changes.
- To correlate imaging findings with clinical manifestations.
Summary:
- This study reviewed MRI scans of 33 patients diagnosed with neuro-Behçet's disease.
- Parenchymal lesions were observed in 21 patients, with the brainstem being the most frequently affected area (14 cases).
- Other common sites included the internal capsule (10 cases), cerebral white matter (7 cases), and basal ganglia (5 cases). Vascular thrombosis was noted in 8 patients.
Impact:
- MRI is highly valuable for detecting and characterizing parenchymal lesions in neuro-Behçet's disease.
- The findings confirm the high prevalence of brainstem involvement in this condition.
- This research aids in the accurate diagnosis and understanding of the neuroimaging spectrum of neuro-Behçet's disease.
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