PT  - JOURNAL ARTICLE
AU  - Afshin Borhani-Haghighi
AU  - Shahdokht Samangooie
AU  - Nahid Ashjazadeh
AU  - Alireza Nikseresht
AU  - Abdolhamid Shariat
AU  - Gholamali Yousefipour
AU  - Anahid Safari
TI  - Neurological manifestations of Behcet s disease
DP  - 2006 Oct 01
TA  - Saudi Medical Journal
PG  - 1542--1546
VI  - 27
IP  - 10
4099  - http://smj.org.sa/content/27/10/1542.short
4100  - http://smj.org.sa/content/27/10/1542.full
SO  - Saudi Med J2006 Oct 01; 27
AB  - OBJECTIVE: To determine the prevalence, clinical manifestations, and laboratory features of Neuro-Behcets disease.METHODS: This prospective study was carried out in the Behcets Research Clinic in Shiraz (south-west Iran) and included the patients referred from 1990-1999. The patients' clinical records, images, CSF analyses, and electrodiagnostic studies were reviewed.RESULTS: Eighteen (15 males and 3 females) out of 690 Behcet s patients (2.6%, 95% CI = 1.4-3.8%) were found to have neurological involvement. The mean ± standard deviation age of these patients was 34.7 ± 8.6 years. All fulfilled the criteria of the International Study Group of Behcet s Disease. Central nervous system involvement was more common than peripheral nervous system manifestations. Headache, weakness, tingling, and numbness were the most common symptoms. Hyperreflexia, upward plantar reflex, and somatosensory findings were the most frequent signs. Hemispheral and brainstem stroke-like syndromes and cerebral venous thrombosis were the major neurologic presentations. There were also cases of myelitic, pure meningoencephalitic, amyotrophic lateral sclerosis-like, multiple sclerosis-like, and Guillain Barre syndromes.CONCLUSION: Neuro-Behcets disease must be considered in the differential diagnosis of stroke in young adults, chronic meningitis, intracranial hypertension, multiple sclerosis, myelopathies, and peripheral neuropathies.