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NEUROLOGY 1995;45:1754-1757
© 1995 American Academy of Neurology

Neuro-Behcet's disease

Factors hampering proper diagnosis

T. Devlin, MD, PhD, L. Gray, MD, N. B. Allen, MD, A. H. Friedman, MD, R. Tien, MD and J. C. Morgenlander, MD

From the Department of Medicine, Divisions of Neurology (Drs. Devlin and Morgenlander) and Rheumatology (Dr. Allen), the Department of Radiology (Drs. Gray and Tien), and the Department of Surgery, Division of Neurosurgery (Dr. Friedman), Duke University Medical Center, Durham, NC.
Received October 26, 1994. Accepted in final form February 10, 1995.
Address correspondence and reprint requests to Dr. Thomas Devlin, University of Virginia Hospital, Box 394, Department of Neurology, Charlottesville, VA 22908.

We reviewed the clinical course of nine patients with neuro-Behcet's disease to assess difficulties in making this diagnosis. Factors delaying proper diagnosis included lack of accurate history and physical examination, lack of recognition of an underlying systemic syndrome and its relationship to the neurologic symptoms, presence of intermittently normal CSF studies, and use of noncontrasted neuroimaging techniques.

NEUROLOGY 1995;45: 1754-1757




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