Author/Editor     Farah, S; Al-Shubaili, A; Montaser, A; Hussein, JM; Malaviya, AN; Mukhtar, M; Al-Shayeb, A; Khuraibet, AJ; Khan, R; Trontelj, JV
Title     Behcet's syndrome: a report of 41 patients with emphasis on neurological manifestations
Type     članek
Source     J Neurol Neurosurg Psychiatry
Vol. and No.     Letnik 64
Publication year     1998
Volume     str. 382-4
Language     eng
Abstract     Forty one patients with the clinical diagnosis of Behcet's syndrome from two teaching hospitals in Kuwait were studied. There were 34 male and seven female patients. Age at presentation ranged from 14 to 48 years. Neurological manifestations were present in 24 patients. Eleven patients showed evidence of increased intracranial pressure, and 10 of these had radiologically confirmed dural sinus thrombosis. Five patients presented with a meningoencephalitic of meningomvelitic picture, three with a stroke-like picture, and three primarily brain stem signs. One patient developed trigeminal neuritis, and five patients exhibited (along with other features) variable degrees of psychological manifestations. All patients with neurological involvement were treated with steroids, and some also had courses of other immunosuppressant drugs and colchicine. The disease took a relatively benign course, except those patients with meningoencephalitic and meningomyelitic presentation, one of whom died from the disease. Those treated early had a better prognosis. The incidence of dural sinus thrombosis in this series of patients is unusually high. In most patients, the course of the disease was more favourable than reported in the literature. This may be attributed to early and aggressive treatment.
Descriptors     BEHCET'S SYNDROME
CENTRAL NERVOUS SYSTEM DISEASES
CEREBROVASCULAR DISORDERS
MENINGOENCEPHALITIS
PSEUDOTUMOR CEREBRI
SINUS THROMBOSIS
FOLLOW-UP STUDIES
PROGNOSIS
TREATMENT OUTCOME