A Case of Possible Neuro-Behcet Disease Mimicking Multiple Sclerosis in Brain MRI
Min Young Lee, MD, Young Gi Lim, MD, Ju Yeon Ham, MD, Ju Yeon Lee, MD, Ae Young Lee, MD, Eun Hee Sohn, MD
Department of Neurology, Chungnam National University Hospital, Daejeon, Korea
A 54-year-old man admitted because of headache, decreased visual acuity, and sustained mild
fever. Brain MRI showed multifocal hyperintense lesions on T2-weighted image which were compatible
to multiple sclerosis (MS). Cerebrospinal fluid study and serologic tests for other possible
disease were negative. Symptoms were improved with methylprednisolon pulse therapy. However,
visual symptom recurred after discontinuation of steroid. Ophthalmologic examination revealed
uveitis suggesting Neuro-Behcet disease. Steroid started and visual symptom was improved again.
If a patient presented as idiopathic demyelinating disorder with atypical features for MS, alternative
explanation for the clinical presentation must be considered and excluded before diagnosing MS.
Journal of Multiple Sclerosis 8(1):9-13, 2017
