Clinical Analysis of 15 Neuro-Behcet Syndromes(including a new clinical manifestation yet unreported)

J Korean Neurol Assoc > Volume 3(2); 1985 > Article

Journal of the Korean Neurological Association 1985;3(2): 267-278.

Neuro - Behcet병 15례에 대한 임상적 고찰 (새로운 임상 양상을 보인 1례를 포함하여)

김종성, 명호진

서울대학교 신경과.

Clinical Analysis of 15 Neuro-Behcet Syndromes(including a new clinical manifestation yet unreported)

Jong-Sung Kim, M.D.,Ho-Jin Myung, M.D.

Department of Neurology, Seoul National University

Abstract

Among 15 neuro-Behcet patients who were admitted at Seoul National University Hospital from Jan. 1979 to Sept 1985, 13 were men and only 2 were women. They were aged from 22 to 48 (mean 34.2). Although they showed diverse neurological symptoms and signs such as gait difficulty, mental change, headache, dysarthria, altered conscousness, ataxia, hyperreflexia, paresis, etc., these presentations could be roughly divided into Nme (meningoencephalitis type) and Nbc (brain stem-cerebellar type) in as many as 12 cases. The two types were not mutually exclusive in their manifestations, but showed significant difference in CSF white blood cell count (145.4:17.2), steroid response (better on Nme), and prognosis (worse on Nbc). As disease process goes on Nme tends to change into Nbc, which made us believe that Nbc is just the end result of recurrent meningeal inflammation.