Summary
Brain stem type neuro-Behçet's syndrome was studied with enhanced CT and MRI during the acute and chronic stage of the illness. During the acute stage, brain CT revealed a low density lesion in the brain stem extending from the lower pons up to the midbrain ventrolaterally with marginal enhancement effect. T2-weighted image showed a high signal intensity lesion in the brain stem which mainly involved the basis ponti, tegmentum, tectum and cerebral peduncle. During the chronic stage, the lesion became low in signal intensity with T2-weighted image and reduced in its size without enhancement in brain CT. The prolonged relaxation time of the lesions was gradually normalized with steroid treatment. Sequential brain CT with enhancement and MRI study with T1- and T2-weighted images were useful to detect the lesions and to evaluate the activity in the neuro-Behçet's syndrome.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
O'Duffy JD, Goldstein NP (1970) Neurologic involvement in seven patients with Behçet's disease. Am J Med 61:170–178
Alema G (1978) Behcet's disease. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 34. Infections of the nervous system, part 2. North-Holland, Amsterdam, pp 475–512
Totsuka S (1984) Neuro-Behçet's disease. Seiwa, Tokyo, pp 71–125 (in Japanese)
Pallis CA, Fudge BJ (1956) The neurological complications of Behçet's syndrome. Arch Neurol Psych (Chir) 75:1–14
Williams AL, Haughton VM, Saxena VK, Albers JW (1979) Computed tomography in Behçet's disease. Radiology 131: 403–404
Dobkin BH (1980) Computerized tomographic findings in neuro-Behçet's disease. Arch Neurol 37:58–59
Yamada T, Tobimatsu S, Itoyama Y, Goto I, Kuroiwa Y (1986) Neuro-Behçet's syndrome with contrast enhancement on brain computed tomography. Clin Neurol 26:87–91 (in Japanese)
Jacobs L, Kinkel WR, Polachini I, Kinkel RP (1986) Correlations of nuclear magnetic resonance imaging, computerized tomography and clinical profiles in multiple sclerosis. Neurology 36:27–34
Smith AS, Weinstein MA, Modic MT, Pavlicek W, Rogers LR, Budd TG, Bukowski RM, Purvis JD, Weick JK, Duchesnean PM (1985) Magnetic resonance with marked T2 weighted images: improved demonstration of brain lesions, tumor and edema. Am J Radiol 949–955
DeWitt LD (1986) Clinical use of nuclear magnetic resonance imaging in stroke. Stroke 17:328–331
Miller DH, Ormerod IEC, Gibson A, du Boulay EPGH, Rudge P, McDonald WI (1987) MR brain scanning in patients with vasculitis: differentiation from multiple sclerosis. Neuroradiology 29:226–231
Willeit J, Schmutzhard E, Aichner F, Mayr U, Weber F, Gerstenbrand F (1986) CT and MR imaging in neuro-Behçet disease. J Comput Assist Tomogr 10:313–315
Kojima S, Hirayama K, Fukutake T, Iwamoto I (1987) Magnetic resonance imaging in neuro-Behçet's disease. Clin Neurol 27:458–464 (in Japanese)
Fukuyama H, Kameyama M, Nabatame H, Takemura M, Nishimura K, Fujisawa I, Torizuka K (1987) Magnetaic resonance images of neuro-Behçet syndrome show precise brain stem lesions. Report of a case. Acta Neurol Scand 75:70–73
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kataoka, S., Hirose, G. & Tsukada, K. Brain stem type neuro-Behçet's syndrome. Neuroradiology 31, 258–262 (1989). https://doi.org/10.1007/BF00344355
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00344355