Venöz Sinüs Trombozu ile Prezente olan Nörobehçet: Olgu Sunumu

Behçet hastalığı etiyolojisi bilinmeyen, multisistem tutulumlu enflamatuar bir hastalıktır. Santral sinir sistemi (SSS) tutulumu nadir olmakla birlikte bazen diğer sistem tutulumlarından önce olabilir. SSS tutulumu vakaların %5-15’inde görülmektedir. Erken teşhis ve tedavi, sekelleri önlemek açısından önemlidir. SSS tutulumu, Behçet hastalığı tanısı için gerekli kriterleri taşıyan, ancak henüz tanı almamış vakalarda hastaneye ilk başvuru nedeni olabilir. Bu yazıda, şiddetli baş ağrısı ve çift görme nedeniyle hastaneye başvuran ve tetkiklerinde serebral venöz sinüs trombozu tesbit edilip etiyolojide Behçet hastalığı çıkan nörobehçet olgumuzu sunduk. Venöz sinüs trombozunda etiyolojik neden tedaviyi şekillendirdiği ve hastamız Behçet hastalığıdan önce nörobehçet tanısı aldığı için sunmaya değer bulduk.

Neuro-Behçet Presenting with Venous Sinus Thrombosis: Case Report

Behçet disease is an inflammatory disease of unknown etiology with multisystem involvement. Central nervous system (CNS) involvement is rare, but may sometimes been before the other systems involvements. CNS involvement is seen in 5-15% of the cases. Early diagnosis and treatment is critical in terms of prevent the sequellae. CNS involvement could be the first reason of the patient to consult the hospital in the cases that carry the fundamental criteria for Behçet disease diagnosis, but not diagnosed yet. In this report, we presented a neurobehçet case admitted to hospital due to severe headache and diplopia, and detecting cerebral vein thrombosis resulting from Behçet disease in etiology. We found this case worth to present since the etiological reason forms the treatment in venous sinus thrombosis and our patient was diagnosed neuro-behçet before than the Behçet disease.

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  • Referans1. Behcet H. Über residivierende, aphtöse durch ein Virüs verursachte Geschwüre am Mund, am Auge und an den Genitalien. Derm Wschr 1937; 105: 1152-7.
  • Referans2. Verity DH, Marr JE, Ohno S (1999) Behçet’s disease, the Silk Road and HLA-B51: historical and geographical perspectives. Tissue Antigens 54:213–220.
  • Referans3. Serdaroglu P. Behcet’s disease and the nervous system. J Neurol. 1998;245:197–205.
  • Referans4. Farah S, Al-Shubaili A, Montaser A, Hussein JM, Malaviya AN, Mukhtar M, et al. Behcet’s syndrome: a report of 41 patients with emphasis on neurological manifestations. J Neurol Neurosurg Psychiatry. 1998;64:382–4.
  • Referans5. Akman-Demir G, Serdaroglu P, Tasci B. Clinical patterns of neurological involvement in Behcet’s disease: evaluation of 200 patients. The Neuro-Behcet Study Group. Brain. 1999;122(Pt 11):2171–82.
  • Referans6. Kidd D, Steuer A, Denman AM, Rudge P. Neurological complications in Behcet’s syndrome. Brain. 1999;122(Pt 11):2183–94. Referans7. Siva A, Kantarci OH, Saip S, Altintas A, Hamuryudan V, Islak C, et al. Behcet’s disease: diagnostic and prognostic aspects of neurological involvement. J Neurol. 2001;248:95–103.
  • Referans8. Al-Araji A, Kidd DP. Neuro-Behcet’s disease: epidemiology, clinical characteristics, and management. Lancet Neurol. 2009;8:192–204.
  • Referans9. Portero A, Herreras JM. Frosted branch angiitis diagnosed as neuro-Behçet: a diagnostic and etiologic dilemma. Case Rep Ophthalmol. 2011;2:170–5.
  • Referans10. Hatemi G, Yazici Y, Yazici H. Behçet’s syndrome. Rheum Dis Clin North Am. 2013;39:245–61.
  • Referans11. Criteria for diagnosis of Behçet's disease International Study Group for Behçet's Disease Lancet, 335 (8697) (1990), pp. 1078-1080.
  • Referans12. Saadatnia M, Fatehi F, Basiri K, et al. Cerebral venous sinus thrombosis risk factors. Int J Stroke 2009;4:111–23.
  • Referans13. Mayda Domaç F, Mısırlı H, Adıgüzel T, Mestan E. Serebral venöz sinüs trombozunda klinik, etyoloji ve prognoz. Türk Nöroloji Dergisi 2008;14:27-32.
  • Referans14. Weschler B, Vidailhet M, Piette JC, Bousser MG, Dell’Isola B, Bletry O, et al. Cerebral venous sinus thrombosis in Behçet’s disease: Long term follow-up of 25 cases. Neurology 1992;42: 614-8.
  • Referans15. Roriz M, Crassard I, Lechtman S, Saadoun D, Champion K, Wechsler B, et al. Can anticoagulation therapy in cerebral venous thrombosis associated with Behçet's disease be stopped without relapse? Rev Neurol (Paris). 2018 Mar;174(3):162-166.
Düzce Tıp Fakültesi Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1999
  • Yayıncı: Düzce Üniversitesi Tıp Fakültesi