Neuro-Behçet disease presented diplopia with hemiparesis following minor head trauma

Korean J Pediatr. 2012 Sep;55(9):354-7. doi: 10.3345/kjp.2012.55.9.354. Epub 2012 Sep 14.

Abstract

Behçet disease (BD) is rare in childhood. We report a 9-year-old boy with neuro-Behçet disease who presented diplopia and weakness on the left side after a cerebral concussion. Brain magnetic resonance imaging (MRI) revealed hyperintensity of the right mesodiencephalic junction on T2-weighted and fluid attenuated inversion recovery images. Prednisolone administration resulted in complete remission and normalization of abnormal MRI finding. Brain MRI is a useful diagnostic tool when the neurological sign is the first symptom of subclinical BD.

Keywords: Cerebral concussion; Child; Neuro-Behçet disease.