Ptosis and Mass Like Lesions in Behçet’s Disease: A Rare Presentation
Seher KIR1, Lütfi AKYOL2, Metin ÖZGEN2, Hediye PINAR GÜNBEY3, Mehmet SAYARLIOĞLU2
1Department of Internal Medicine, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey
2Department of Rheumatology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey
3Department of Radiology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey
Keywords: Behçet’s disease; neuro-Behçet; ptosis
Abstract
In this article, we describe a case of neuro-Behçet’s disease presenting with unilateral ptosis and facial paresis due to an intracranial mass lesion. A 25-year-old male patient with a history of Behçet’s disease presented with headache, vertigo, double vision, ptosis in his right eyelid and slurred speech. Cranial magnetic resonance imaging scan revealed a right-sided capsulothalamic lesion, which was extending to the right cerebral pedicle, pons and superior cerebellar pedicle. This lesion was interpreted as neuro-Behçet’s disease involvement of central nervous system. Cerebral mass- like lesion is a rare form of neuro-Behçet’s disease. Review of the literature revealed a limited number of cases. Ptosis related with Behçet’s disease is also a very rare presentation. This case shows that this symptom might be a part of the clinical presentation of neuro-Behçet’s disease.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.