Nerve in 1 case report of Behcets disease.doc

 PAGE \* MERGEFORMAT 5 Nerve in 1 case report of Behcet’s disease [Keywords:] neural Behcet’s disease 1 Clinical data Patients, male, 31 years old, repeated oral and scrotal pain, ulcer 10 years. Depending on the material distortion of the right eye, diplopia, recurrent 7 years, the right limbs not work 1 year, increased 1 week 27 May 2007 at admission. The patient in May 1997 there was no obvious incentive to the surface of mucosal ulceration of mouth and tongue after 1 week of painful genital ulcers that 1 ~ 2 weeks to heal, the recurrent symptoms, no systemic therapy .2000 4 suddenly appeared on his right eye, as objects were twisted, distorted, ophthalmic treatment outside hospital, diagnosed as “uveitis”, improved with hormone therapy, but recurrent ocular symptoms. in May 2006 because of fever in patients with limb after right Activities not working the line the left side of the head MRI showed basal ganglia, lateral ventricle next to the see the small pieces long T2 signal. examination: vital signs were normal, visible facial acne, no genital ulcers. heart, lung, abdominal examination was normal. Neurological examination: Shen Qing, verbal fluency, advanced neurological examination was normal, no abnormal cranial nerve, right side, lower extremity muscle strength grade IV, right side slightly higher muscle tone, limb tendon reflexes were active and stronger than the left-right side. Shuang Zhang jaw reflex, Hoffmann sign, Babinski sign, Chaddock sign both (+), no meningeal irritation. auxiliary examination: RF (-), ASO (-), ESR20 mmP / L h, ANA antibodies, ds-DNA , ENA polypeptide antibodies, ANCA was normal. cerebrospinal fluid (CSF): protein 0.56 gP / L, total cell number 8, lymphocytes 3. India ink staining, acid fast stain was negative. evoked potentials: brainstem auditory evoked potential (BAEP) is not See abnormal visual evoked potential (VEP) abnormalities after right optic chiasm. to methylprednisolone 500 mg / d, 5 days, later changed