[Pseudo-tumoral neuro-Behçet's disease].
BACKGROUND
Clinical involvement of the central nervous system occurs in about 10 to 30 percent of patients with Behçet's disease. Neurological pseudo tumoral presentation is rare.


METHODS
We report a case of pseudo tumoral neuro-Behçet disease in a 38-year-old man, with past history of facial and dorsal folliculitis, who presented suddenly headache, right hemiplegia, aphasia and disturbed consciousness. Neuroradiological investigations showed a pseudo tumoral lesion in the left capsulo-thalamic region extending to the homolateral peduncle. The patient improved with steroid and immunosuppresseur therapy.


CONCLUSIONS
The clinical and radiological presentation of neuro-Behçet's disease can mimic a brain tumor.
Darmoul
M
M
Unité de Neurochirurgie, Hôpital des FSI, La Marsa, Tunisie. mehdi.darmoul@laposte.net
Habib Bouhaouala
M
M
Smida
H
H
Hedi Dougui
M
M
D000284:Administration, Oral; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001037:Aphasia / Q000209:etiology; D001528:Behcet Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D001927:Brain Diseases / Q000175:diagnosis* / Q000188:drug therapy; D001932:Brain Neoplasms / Q000175:diagnosis; D003244:Consciousness Disorders / Q000175:diagnosis; D003520:Cyclophosphamide / Q000008:administration & dosage; D004292:Dominance, Cerebral / Q000502:physiology; D004359:Drug Therapy, Combination; D006261:Headache / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D020772:Internal Capsule / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000473:pathology; D008775:Methylprednisolone / Q000008:administration & dosage; D013788:Thalamus / Q000473:pathology
D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D008775:Methylprednisolone