A Case of Recurrent Neuro-Behcet's Disease after Tooth Extraction.
10.3346/jkms.2010.25.1.185
- Author:
Seong Min CHOI
1
;
Yun Ju CHOI
;
Joon Tae KIM
;
Seung Han LEE
;
Man Seok PARK
;
Byeong Chae KIM
;
Myeong Kyu KIM
;
Ki Hyun CHO
Author Information
1. Department of Neurology, Chonnam National University Medical School, Gwangju, Korea. movement@chonnam.ac.kr
- Publication Type:Case Reports
- Keywords:
Neuro-Behcet's Disease;
Tooth Extraction;
Recurrence
- MeSH:
Adult;
Behcet Syndrome/*diagnosis/drug therapy;
Brain/radionuclide imaging;
Humans;
Immunoglobulin G/analysis;
Leukocytosis/cerebrospinal fluid/diagnosis;
Magnetic Resonance Imaging;
Male;
Methylprednisolone/therapeutic use;
Neuroprotective Agents/therapeutic use;
Recurrence;
*Tooth Extraction
- From:Journal of Korean Medical Science
2010;25(1):185-187
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a 39-yr-old man with neuro-Behcet'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.
