Neuro-Behçet disease presenting with acute psychosis in an adolescent.

Abstract:

:Behçet disease is a systemic vasculitis of unknown etiology that can affect the neurologic system. Neuro-Behçet disease is not well defined in children and adolescents, and the diagnosis is difficult to make in this population as they often present with insufficient symptoms to meet diagnostic criteria. Psychiatric symptoms as the initial manifestation of neuro-Behçet disease has rarely been reported. We describe a 17-year-old boy who presented with acute psychosis and was subsequently diagnosed with neuro-Behçet disease. A rare combination of both cerebral venous thrombosis and parenchymal central nervous system involvement was identified by neuroimaging. Although treatment guidelines for neuro-Behçet disease are limited, the patient made demonstrative clinical and radiographic improvement with a combination of corticosteroids, anticoagulation, and immunosuppressants, including a tumor necrosis factor-α (TNFα) blocking agent.

journal_name

J Child Neurol

authors

Patel P,Steinschneider M,Boneparth A,Lantos G

doi

10.1177/0883073813504137

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

NP86-91

issue

9

eissn

0883-0738

issn

1708-8283

pii

0883073813504137

journal_volume

29

pub_type

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