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A woman with neuro-behcet disease characterized by recurrent attacks of meningoencephalitis is reported.During an attack of brain stem dysfunction characterized by dysarthria,diplopia,and ataxia,the postcontrast CT showed an enhancing lesion of the upper brain stem.During a subsequent attack characterized by subcortical dementia and amnesia,magnetic resonance(MR) showed abnormal signal intensity in the hypothalamus and upper brain stem. Upon remission of her symptoms,follow-up contrast enhanced CT and MR were entirely normal.Magnetic resonance is especially useful in localizing acute inflammatory lesions in Behcet disease.This case suggests that abnormal MR and CT findings in neuro-Behcet disease are potentially reversible and that radiographic improvement parallels clinical improvement. |
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basal ganglia,lesion of
Behcet's syndrome
brainstem,lesion of
CAT scan
CAT scan,abnormal
dementia
dementia,subcortical
fever
genital ulcerations
internal capsule
internuclear ophthalmoplegia
internuclear ophthalmoplegia,bilateral
memory,impairment of
meningitis
meningitis,aseptic
MRI
MRI,abnormal
MRI,CAT scan compared to
oral ulcerations
thalamus,lesion of
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