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- Valeria Ripa, Churl-Su Kwon, Joshua D Burks, and Jacques J Morcos.
- Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address: valeriaripa87@gmail.com.
- World Neurosurg. 2020 Jan 1; 133: 205-211.
BackgroundDiverse clinical manifestations have characterized reports of central nervous system involvement in Behcet disease. There is a limited number of published case reports of neuro-Behcet disease mimicking brain tumor.Case DescriptionWe present a rare case of neuro-Behcet disease exhibiting mixed systemic and neurological symptoms mimicking malignant lymphoma. Delayed presentation of oral aphthae and rapid improvement of symptoms with steroid treatment led to a diagnosis of neuro-Behcet disease without brain biopsy. The patient also underwent surgery for the resection of an arterio-venous fistula.ConclusionsWe recommend management of neuro-Behcet disease based on perceived natural history risks, with the understanding that no data exist on this within patients population. A multidisciplinary team approach is always recommended because neuro-Behcet disease is an uncommon condition, especially in neurosurgical practice.Copyright © 2019 Elsevier Inc. All rights reserved.
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