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Spinal cord involvement in Behçet's disease.

Hyung Seok Lee1, Do Young Kim2, Ha Young Shin3

  • 1Department of Neurology, Yonsei University College of Medicine, Republic of Korea.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|October 21, 2015
PubMed
Summary

Spinal cord involvement in Behçet

Keywords:
Behçet’s diseaselongitudinally extensive transverse myelitisneuro-Behçet’s diseaseneuromyelitis opticaserum anti-aquaporin-4 antibodyspinal cord

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Area of Science:

  • Neurology
  • Immunology
  • Rheumatology

Background:

  • Spinal cord involvement in Behçet's disease is infrequently studied.
  • Understanding neurological manifestations is crucial for patient management.

Purpose of the Study:

  • To characterize spinal cord involvement in Behçet's disease.
  • Evaluate clinical, laboratory, and MRI findings.

Main Methods:

  • Retrospective review of 10 spinal cord involvement cases in 7 Behçet's disease patients.
  • Analysis of clinical, cerebrospinal fluid, and MRI data.

Main Results:

  • Median age of onset was 32 years; two patients had progressive disease.
  • Lesions often exceeded three vertebrae (8/10 cases).
  • Cerebrospinal fluid showed mild-moderate pleocytosis/elevated protein; anti-aquaporin-4 antibodies were negative.

Conclusions:

  • Longitudinally extensive transverse myelitis is characteristic of Behçet's disease spinal cord involvement.
  • MRI findings and clinical course provide diagnostic clues.