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Unravelling the Mystery: A 19-Year-Old Male with Recurrent Strokes

  • Unique Paper ID: 173001
  • Volume: 11
  • Issue: 9
  • PageNo: 1504-1508
  • Abstract:
  • Background Behçet ‘s disease (BD) is a chronic, multisystem autoimmune vasculitis that can affect various organs, including the central nervous system (CNS). Neuro-Behçet ’s disease (NBD) is a rare but severe manifestation, often presenting diagnostic challenges due to its overlap with other neurological disorders. Case Presentation: We report the case of a 19-year-old male who presented with sudden-onset right-sided weakness, slurred speech, and facial asymmetry. His history included recurrent oral ulcers but no prior neurological events. Neurological examination revealed right-sided hemiparesis with upper motor neuron facial palsy and gaze palsy. Imaging studies, including MRI, identified T2 and FLAIR hyperintensities in the left basal ganglia, brainstem, and periventricular white matter. A positive pathergy test and cerebrospinal fluid (CSF) analysis supported the diagnosis of NBD. Management & Outcome: The patient was treated with high-dose intravenous methylprednisolone followed by oral steroids in a tapering regimen. In light of thrombotic risk, anticoagulation therapy with apixaban was initiated. The patient showed significant neurological improvement and was discharged with no residual deficits at the one-month follow-up. Conclusion: This case underscores the importance of considering NBD in young patients with recurrent strokes and systemic BD features. Early diagnosis using neuroimaging and laboratory markers, coupled with aggressive immunosuppressive therapy, can improve clinical outcomes and reduce long-term complications. Further research is required to refine treatment protocols for NBD to prevent relapses and disability.
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Cite This Article

  • ISSN: 2349-6002
  • Volume: 11
  • Issue: 9
  • PageNo: 1504-1508

Unravelling the Mystery: A 19-Year-Old Male with Recurrent Strokes

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