Clinical Manifestation and Papilledma as Intracranial Hypertension in Behcet’s Disease without Cerebral Venous Thrombosis

¹Ophthalmologist, Birjand University of Medical Science, Social Determinant Health Research Center, Department of Ophthalmology, South Khorassan, Birjand, Iran

²Neurologist, Birjand University of Medical Science, South Khorassan, Birjand, Iran

³Internist, Mashad University of Medical Science, Department of Internal Medicine, Ghaem Hospital, Razavi Khorassan, Mashhad, Iran

*Corresponding author: Dr. Yaghoobi Gholamhossein, MD, Ophthalmologist, Birjand University of Medical Science, Social Determinant Health Research Center, Department of Ophthalmology, South Khorassan, Birjand, Iran, Phone: 985632626251, Email: [email protected]

Received Date: October 07, 2024

Published Date: December 11, 2024

Citation: Yaghoobi G, et al. (2024). Clinical Manifestation and Papilledma as Intracranial Hypertension in Behcet’s Disease without Cerebral Venous Thrombosis. Mathews J Ophthalmol. 9(1):37.

Copyrights: Yaghoobi G, et al. © (2024).

ABSTRACT

Introduction: Behcet's syndrome is an inflammation of vascular system it may have a clinical feature initially that lead to numerous signs and symptoms which may appeared unrelated to it at first. It could be affected the mouth sores, eye inflammation, skin lesions or genital sores. Behcet's disease have different presentation and early treatment could be reducing or prevent serious eye complications, such as blindness. To report a case of papilloedema without dural sinus thrombosis according to clinical and imaging study, diagnosis confirm by acneiform appearance therafter. Case description: A 25-year-old male, presented with a four-week history of increasingly severe headache, nausea and blurring of vision. Ophthalmic examination showed papilledema without any other ocular finding. The patients admitted in neurology ward and clinical and paracilinical study suggestion was idiopathic intracranial hypertention. The patient discharge and prescribed acetazolamid tablet to maintain lowering intracranial pressure. The patient three months latter comeback with prefund visual loss and bilateral optic atrophy that development of oftus lesion and acneiform skin lesions confirm Behcet's disease Conclusion: Although uveitis is a main clinical feature but variable presentation in Behçet's disease, such as papilledema could be considered in different diagnosis of it. The consequent of optic atrophy after three months of papilledema had great value in early suspicion of Behçet's disease to definite diagnosis and do prompt treatment in spite of any sign of cerebral venous thrombosis in this late appearing skin lesion.

Keywords: Behcet’s Disease, Papilledema, Diagnosis.