다발경화증과 유사한 뇌MRI병변을 보인 신경베체트병 의심 증례 |
이민영, 임영기, 함주연, 이주연, 이애영, 손은희 |
충남대학교병원 신경과 |
A Case of Possible Neuro-Behcet Disease Mimicking Multiple Sclerosis in Brain MRI |
Min Young Lee, Young Gi Lim, Ju Yeon Ham, Ju Yeon Lee, Ae Young Lee, Eun Hee Sohn |
Department of Neurology, Chungnam National University Hospital, Daejeon, Korea |
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Abstract |
"A 54-year-old man admitted because of headache, decreased visual acuity, and sustained mild fever. Brain MRI showed multifocal hyperintense lesions on T2-weighted image which were compatibleto multiple sclerosis (MS). Cerebrospinal fluid study and serologic tests for other possibledisease were negative. Symptoms were improved with methylprednisolon pulse therapy. However,visual symptom recurred after discontinuation of steroid. Ophthalmologic examination revealeduveitis suggesting Neuro-Behcet disease. Steroid started and visual symptom was improved again.If a patient presented as idiopathic demyelinating disorder with atypical features for MS, alternativeexplanation for the clinical presentation must be considered and excluded before diagnosing MS. Journal of Multiple Sclerosis 8(1):9-13, 2017" |
Key Words:
Words: Behcet syndrome, MRI, Uveitis |
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