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Neuro-Behçet leading to coma: A case report
Soumia Kriouile1, Kaoutar Imrani1, Soumya El Graini1
1Central Radiology Department, Ibn Sina University Hospital Center, Mohamed V University of Rabat, Rabat, Morocco.
Radiology Case Reports
|November 25, 2024
Summary
Diagnosing neuro-Behçet disease is challenging. This case highlights neuroimaging findings in a patient with Behçet
Area of Science:
- Neurology
- Immunology
- Radiology
Background:
- Neuro-Behçet disease presents complex diagnostic challenges.
- Behçet disease is a multisystem inflammatory disorder.
Observation:
- A 35-year-old female with known Behçet disease presented in a deep coma.
- Brain MRI revealed extensive lesions in the basal ganglia, thalami, and midbrain.
- Leptomeningeal enhancement was noted in the temporal region.
Findings:
- The imaging findings suggested meningoencephalitis consistent with neuro-Behçet disease.
- Infectious and malignant causes were systematically excluded.
- Diagnosis was confirmed based on clinical history and neuroimaging.
Implications:
- This case underscores the importance of neuroimaging in diagnosing neuro-Behçet disease.
- Early recognition and diagnosis are crucial for appropriate management.
- Understanding imaging patterns aids in differentiating neuro-Behçet from other neurological conditions.
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