Behçet's disease is a chronic inflammatory, multisystem vasculitis. Neurological involvement is one of the most serious manifestations of Behçet's disease. Although brain stem and diencephelon are the most affected areas in neuro-Behçet's disease, spinal cord involvement are rarely seen. We report a case of paraplegia caused by completely thoracic cord involvement of Behçet's disease in a 20-year-old woman.

S Su um mm ma ar ry y O Ob bj je ec ct ti iv ve e: : Sexual dysfunction (SD) is an important, but generally underestimated symptom in the course of multiple sclerosis (MS). The aim of this study was to investigate the factors related to SD in MS patients. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : Twenty-one MS patients with and 21 MS patients without SD were included in this study. Age, SD duration, disease duration, marital status, educational status, bladder and bowel dysfunction, disability, independence, cognitive performances and psychological functioning and sexual function scales have also been assessed. R Re es su ul lt ts s: : SD correlated with age (p=0.029), disease duration (p=0.045), bladder dysfunction (X 2 =0.011; p=0.012). Positive correlations were found between disease duration and 5-point sexual function scale in SD patient (rs=0.419; p=0.027). However, SD did not correlated with bowel dysfunction (X 2 =0.469; p=0.418), disability (p=0.190), level of independence (p=0.146) and cognitive performances (p=0.212). The brain stem involvement was higher in patients with SD (X 2 =0.001; p=0.001). C Co on nc cl lu us si io on n: : The prevalence of SD increases with the patient age and prolonged disease duration. SD is related to bladder dysfunction and brain stem involvement. However, increased disability does not affect SD. Turk J Phys Med Rehab 2010;56:130-4. K Ke ey y W Wo or rd ds s: : Multiple sclerosis, sexual dysfunction Ö Öz ze et t A Am ma aç ç: : Seksüel disfonksiyon (SD), multipl skleroz (MS) seyri s›ras›nda görülen ancak genellikle gözard› edilen bir semptomdur. Bu çal›flman›n amac› MS'li hastalarda görülen SD ile iliflkili faktörlerin araflt›r›lmas›d›r. G Ge er re eç ç v ve e Y Yö ön nt te em m: : Çal›flmaya MS'ye ba¤l› SD'si bulunan 21 hasta ve bulunmayan 21 hasta dahil edildi. Yafl, SD süresi, hastal›k süresi, medeni durum, e¤itim durumu, mesane ve barsak disfonksiyonu varl›¤›, disabilite, konginitif performans, psikolojik fonksiyonlar ve seksüel durum de¤erlendirildi. B Bu ul lg gu ul la ar r: : SD varl›¤›; yafl, hastal›k süresi ve mesane disfonksiyonu varl›¤› ile koreleydi (s›ras›yla p=0,029, p=0,045, X 2 =0,011; p=0,012). Hastal›k süresi ve 5 puanl›k seksüel fonksiyon skalas› aras›nda, SD olan hastalarda pozitif korelasyon bulundu (rs=0,419; p=0,027). Buna ra¤men SD varl›¤› ile barsak disfonksiyonu varl›¤› (X 2 =0,469; p=0,418), disabilite düzeyi (p=0,190) ve kognitif performans (p=0,212) düzeyi korele bulunmad›. SD'lu hastalarda beyin sap› tutulumu daha yüksekti (X 2 =0,001; p=0,001). S So on nu uç ç: : SD s›kl›¤› hasta yafl› ve hastal›k süresi art›kça artmaktad›r. SD mesane disfonksiyonu ve beyin sap› tutulumu ile iliflkilidir. Ancak disabilite düzeyinin artmas› SD'nin görülme s›kl›¤›nda art›fla neden olmamaktad›r. Türk Fiz T›p Rehab Derg 2010;56:130-4. A An na ah ht ta ar r K Ke el li im me el le er r: : Multipl skleroz, seksüel disfonksiyon