title: A case of recurrent neuro-Behçet's disease after tooth extraction.
abstract: We report a 39-yr-old man with neuro-Behçet's disease (NBD) in remission who developed left-sided ataxia with a sensory deficit about 10 days after tooth extraction. Several years ago, he experienced a similar episode of relapse after tooth extraction. Brain magnetic resonance imaging showed a newly developed right thalamic lesion. In cerebrospinal fluid, lymphocyte-dominant pleocytosis and mild elevation of IgG were found. Immunologic factors may be important in the pathogenesis of NBD because of the time delay between tooth extraction and relapse. Careful observation and prevention are needed before dental procedures in patients with NBD.
authors.affiliation: Department of Neurology, Chonnam National University Medical School, Gwangju, Korea.
authors.forename: Seong-Min
authors.initials: SM
authors.lastname: Choi
authors.forename: Yun-Ju
authors.initials: YJ
authors.lastname: Choi
authors.forename: Joon-Tae
authors.initials: JT
authors.lastname: Kim
authors.forename: Seung-Han
authors.initials: SH
authors.lastname: Lee
authors.forename: Man-Seok
authors.initials: MS
authors.lastname: Park
authors.forename: Byeong-Chae
authors.initials: BC
authors.lastname: Kim
authors.forename: Myeong-Kyu
authors.initials: MK
authors.lastname: Kim
authors.forename: Ki-Hyun
authors.initials: KH
authors.lastname: Cho
mesh_terms: D000328:Adult; D001528:Behcet Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D001921:Brain / Q000000981:diagnostic imaging; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007964:Leukocytosis / Q000134:cerebrospinal fluid / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D011877:Radionuclide Imaging; D012008:Recurrence; D014081:Tooth Extraction
chemical_list: D007074:Immunoglobulin G; D018696:Neuroprotective Agents; D008775:Methylprednisolone