LETTER

Bilateral subdural effusion in a patient with neuro-Behçet’s disease

N Suzuki¹, M Takeno¹, G Inaba²

¹ Departments of Immunology and Medicine, St Marianna University School of Medicine
² Department of Ophthalmology, Uveitis Clinic, Tokyo Women’s Medical College, Daini Hospital

Correspondence to:
Correspondence to:
Dr N Suzuki, Departments of Immunology and Medicine, St Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, Japan;
n3suzuki@marianna-u.ac.jp

Accepted 12 August 2002

Keywords: Behçet’s disease; central nervous system; subdural effusion

The first 150 words of the full text of this article appear below.

The central nervous system is sometimes affected in patients with Behçet’s disease.¹ Meningoencephalitis and brainstem lesions are the most common problems. The appearance of subdural effusion has been rarely reported. Our patient, who had neuro-Behçet’s disease with massive bilateral subdural effusion, was successfully treated with steroid pulse therapy.

The patient (a 45 year old man) first developed polyarthralgia, fever, recurrent oral aphthosis, and headache in 1986. In 1987 he had a genital ulcer and positive pathergy test. Thus, he fulfilled the international criteria for the diagnosis of Behçet’s disease. He had two cycles of steroid pulse therapy, and his symptoms including headache subsided. In 1995 an episodic exacerbation of the neuro-Behçet’s disease occurred, accompanying parkinsonism and abnormal cerebral spinal fluid (CSF) findings (cell 5/3, protein 0.97 g/l, IgG 0.07 g/l). The symptoms improved after treatment with prednisolone 40 mg/day + colchicine 1 mg/day.

In December 2000 he began to have . . . [Full text of this article]

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