This caucasian patient has known a history of Behcet disease with current oral ulcers.
Behcet's disease is characterised by inflammatory perivasculitis, inflammation of the tissue around a blood or lymph vessel, in practically any tissue in the body. It is commonly associated with ulcers in the mouth and on the genitalia and inflammation around the eye.
Involvement of the nervous system is known as neuro-Behcet's disease (NBD).
Neuro-Behcet's disease has two types:
- parenchymal: affecting brainstem, thalamus, basal ganglia and spinal cord.
- non-parenchymal NBD, vascular complications such as cerebral venous thrombosis.
MRI is the modality of choice while CT has low sensitivity.