Behçet's disease is a multisystem relapsing inflammatory disorder of unknown cause. Neurological involvement is one of the most serious causes of long-term morbidity and mortality in Behçet's disease. Cerebral abscess is very rare in literature. A 45-yr-old man with Behçet's disease manifesting focal epileptic seizure and multiple cerebral abscesses is reported in the case. He was diagnosed with cerebral abscess and was treated with antibiotics but no improvement occurred. Excisional biopsy was performed and the lesions were consistent with abscess. The clinical state of the patient gradually improved. The patient had no further complications. The etiology, and clinical and magnetic resonance imaging findings are discussed.
KeywOrds: NeuroBehcet disease, Behcet's disease, Cerebral abscess
ÖZBehçet Hastalığı nedeni bilinmeyen relapslarla seyreden multisistemik inflamatuvar bir hastalıktır. Nörolojik tutulum uzun dönem mortalite ve morbiditenin en ciddi nedenlerinden bir tanesidir. Serebral abse ise literatürde oldukça nadir görülmektedir. Fokal epileptik nöbetle gelen multipl serebral abseleri olan 45 yaşında bir erkek Behçet hastası sunuldu. Serebral abse tanısı alan hastaya antibiyotik tedavisi başlandı ancak bir düzelme görülmedi. Daha sonra eksizyonel biyopsi yapıldı ve alınan lezyonlar abse ile uyumluydu. Sonrasında hastanın klinik durumu giderek düzeldi. Hasta halen herhangi bir komplikasyonu olmaksızın yaşamını sürdürmektedir. Etiyoloji, klinik ve manyetik rezonans görüntüleme bulguları tartışıldı.
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