Cytotoxic edema in neuro-Behcet's disease ?

Intern Med. 2008;47(23):2073-6. doi: 10.2169/internalmedicine.47.1134. Epub 2008 Dec 1.

Abstract

We report a case of a 52-year-old woman with Behcet's disease who presented with dysarthria and right-sided hemiparesis. T2-weighted and diffusion-weighted images (DWI) showed a hyperintense lesion in the left pons with a relatively decreased apparent diffusion coefficient (ADC). Imaging showed almost complete resolution of the lesion after treatment with prednisolone. The atypical DWI and ADC findings in this case may reflect cytotoxic edema due to excitotoxic brain injury. This case thus illustrates the radiological diversity of neuro-Behcet's lesions.

Publication types

  • Case Reports

MeSH terms

  • Behcet Syndrome / complications*
  • Behcet Syndrome / diagnosis*
  • Behcet Syndrome / drug therapy
  • Brain Edema / complications*
  • Brain Edema / diagnosis*
  • Brain Edema / drug therapy
  • Female
  • Humans
  • Middle Aged
  • Paresis / complications
  • Paresis / diagnosis
  • Paresis / drug therapy
  • Prednisolone / therapeutic use

Substances

  • Prednisolone