Artículos de revistas
Brain Tumor-like Lesion In Behçet Disease
Registro en:
Rheumatology International. , v. 26, n. 6, p. 577 - 580, 2006.
1728172
10.1007/s00296-005-0082-3
2-s2.0-33645344105
Autor
Appenzeller S.
De Castro R.
De Souza Queiroz L.
Madegan L.
Soledade C.
De Araujo Zanardi V.
Nucci A.
Cendes F.
Fernandes S.R.M.
Institución
Resumen
We report a patient with longstanding Behçet disease who presented sudden onset of headache and facial paresis. The magnetic resonance imaging (MRI) showed a mass in the right thalamus, extending to the lentiform nucleus, subthalamic area, right cerebral peduncle and deep subcortical white matter. Stereotactic brain biopsy disclosed gliosis with no signs of malignancy. The diagnosis of a pseudotumoral form of neuro-Behçet disease was done and she was treated with pulse methylpredinisolone and intravenous cyclophosphamide. After 8 weeks she had improved and a new MRI showed disappearance of the tumor-like lesion. The differential diagnosis, especially with central nervous system tumor is emphasized. © Springer-Verlag 2005. 26 6 577 580 Kidd, D., Steur, A., Denman, A.M., Rudge, P., Neurological complications in Behçet's syndrome (1999) Brain, 122, pp. 2183-2194 Park, J.H., Jung, M.K., Bang, C.O., Park, H.K., Sung, K.B., Neuro-Behçet's disease mimicking a cerebral tumor: A case report (2002) J Korean Med Sci, 17, pp. 718-722 Çoban, O., Bahar, S., Akman-Demir, G., Masked assessment of MRI findings: Is it possible to differentiate neuro-Behçet's disease from other central nervous system disease (1999) Neuroradiology, 41, pp. 225-260 Kataoka, S., Hirose, G., Tsukada, K., Brain stem type neuro-Behçet's syndrome. Correlation of enhanced CT scans and MRI during the acute and chronic stage of the illness (1989) Neuroradiology, 39, pp. 258-262 Kermode, A.G., Plant, G.T., Mac Manus, D.G., Behçet's disease with slowly enlarging midbrain mass on MRI: Resolution following steroid therapy (1989) Neurology, 39, pp. 1251-1252 Al Khawi, M.Z., Bohlega, S., Banna, M., MRI findings in neuro-Behçet's disease (1991) Neurology, 41, pp. 405-408 Banna, M., El-Ramahi, K., Neurologic involvement in Behçet's disease: Imaging findings in 16 patients (1991) AJNR, 12, pp. 791-796 Wechsler, B., Dell Isola, B., Vidailhet, M., MRI in 31 patients with Behçet's disease and neurological involvement: Prospective study with clinical correlation (1993) J Neurol Neurosurg Psychiatry, 56, pp. 793-798 Morrisey, S.P., Miller, D.H., Hermaszewski, R., MRI of the central nervous system in Behçet's disease (1993) Eur Neurol, 33, pp. 287-293 Tali, E., Atilla, S., Keskin, T., MRI in neuro-Behçet's disease (1997) Neuroradiology, 39, pp. 2-6 Miller, D.H., Omerod, I.E.C., Gibson, A., MR brain scanning in patients with vasculitis: Differentiation from multiple sclerosis (1987) Neuroradiology, 29, pp. 226-231 Willeit, J., Schmutzhard, E., Aichner, F., Mayr, U., Weber, F., Gerstenbrand, F., CT and MR imaging in neuro-Behçet disease (1986) J Comput Assist Tomogr, 10, pp. 313-315 Mitsui, Y., Mitsui, M., Urakami, R., Kihara, M., Takahashi, M., Kusunoki, S., Behçet disease presenting with neurological complications immediately after conversion from conventional cyclosporine A to microemulsion formulation (2005) Intern Med, 44, pp. 149-152