title: Delirium as presenting symptom of neuro-Behcet's disease.
abstract: OBJECTIVE
  Behcet's disease is a multisystemic disorder. Most of its clinical manifestations are due to thrombosis or vasculitis. There is a predominance of mucocutaneous and ocular lesions; neurological manifestations are minority. However, this could be the first problem that leads a patient to seek medical help.
  
  
  METHODS
  We report a 30-year-old female with rapidly progressive headaches and confusion. Brain magnetic resonance imaging showed bilateral thalamic T2 hyperintense lesions and hemorrhage. Directed inquiry revealed recurrent oral ulcers and three miscarriages. During hospitalization, the patient developed a deep venous thrombosis.
  
  
  RESULTS
  After exclusion of other differential diagnoses, the diagnosis of Behcet's disease was established.
  
  
  CONCLUSIONS
  Behcet's disease is a protean disease. Hence it should be in mind in patients with otherwise unexplained signs and symptoms, especially in endemic countries, and treatment decision should not be witheld in critical cases if no alternative diagnosis is plausible.
authors: Division of Neurology, Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
authors: Rana
authors: R
authors: Alnasser Alsukhni
authors: Division of General Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
authors: Mohamed Sourat
authors: MS
authors: Ghoubari
authors: Division of Neurology, Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
authors: Yasmin
authors: Y
authors: Aboras
authors: Division of Neurology, Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
authors: Khadija
authors: K
authors: Almohamad Alkhalifa
keywords: Neuro-Behcet’s disease; bilateral thalamic lesions; cerebral venous thrombosis