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[Meningomyelitis disclosing Behçet's disease]
C Lafitte1, J Servan, J M Bleibel
1Service de Neurologie, Hôpital de la Salpêtrière, Paris.
Revue Neurologique
|March 1, 1996
Summary
Behçet disease can cause spinal cord inflammation (meningo-myelitis), which is rare. Prompt steroid and immunosuppressive treatment led to significant recovery of neurological function in a patient.
Area of Science:
- Neurology
- Immunology
- Radiology
Background:
- Behçet disease is a rare multisystem inflammatory disorder.
- Neurological involvement, neuro-Behçet, affects 5-10% of patients.
- Spinal cord involvement is an uncommon manifestation of neuro-Behçet.
Observation:
- A patient presented with meningo-myelitis.
- Spinal magnetic resonance imaging (MRI) was utilized to evaluate the extent of spinal cord involvement.
- The patient's symptoms were attributed to Behçet disease.
Findings:
- Isolated spinal cord involvement in Behçet disease is infrequent.
- The patient experienced a dramatic improvement in neurological symptoms.
- Treatment involved corticosteroids and immunosuppressive agents.
Implications:
- This case highlights the importance of considering Behçet disease in the differential diagnosis of meningo-myelitis.
- Early diagnosis and aggressive immunosuppressive therapy, including steroids, can lead to favorable outcomes in spinal neuro-Behçet.
- Spinal MRI is a valuable tool for assessing CNS involvement in Behçet disease.