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KMID : 1022820170080010009
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Journal of Multiple Sclerosis and Neuroimmunology
2017 Volume.8 No. 1 p.9 ~ p.13
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A Case of Possible Neuro-Behcet Disease Mimicking Multiple Sclerosis in Brain MRI
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Lee Min-Young
Lim Young-Gi
Ham Joo-Yeon
Lee Ju-Youn
Lee Ae-Young
Sohn Eun-Hee
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Abstract
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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 compatible to multiple sclerosis (MS). Cerebrospinal fluid study and serologic tests for other possible disease were negative. Symptoms were improved with methylprednisolon pulse therapy. However, visual symptom recurred after discontinuation of steroid. Ophthalmologic examination revealed uveitis 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, alternative explanation for the clinical presentation must be considered and excluded before diagnosing MS.
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KEYWORD
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Behcet syndrome, MRI, Uveitis
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