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Case Reports
. 2020 May 21;13(5):e234693.
doi: 10.1136/bcr-2020-234693.

Surprise of Behcet's disease in a patient with bilateral disc oedema and the role of OCT

Affiliations
Case Reports

Surprise of Behcet's disease in a patient with bilateral disc oedema and the role of OCT

Mousumi Banerjee et al. BMJ Case Rep. .

Abstract

Behcet's disease is a multisystem vasculitis which can be associated with cerebral venous thrombosis (CVT) leading to increased intracranial tension and papilloedema. We report a case of a 17-year-old boy who presented to us with inward deviation of right eye with bilateral disc oedema and on further investigations was found to be Human Leukocyte Antigen (HLA) B5 positive, along with CVT on magnetic resonance venography which further led us to the diagnosis of non-parenchymal neuro-Behcet's.

Keywords: neuro-opthalmology; ophthalmology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Fundus picture at presentation, (A) right eye and (B) left eye.
Figure 2
Figure 2
Optical coherence tomography at presentation. RNFL, retinal nerve fibre layer.
Figure 3
Figure 3
Magnetic resonance venography images showing distended optic nerve sheath (Right arrow) and loss of normal flow mediated signal void in posterior third of superior sagittal sinus (Left arrow).
Figure 4
Figure 4
Fundus picture at 3 months, (A) right eye and (B) left eye.
Figure 5
Figure 5
Optical coherence tomography at 3 months. RNFL, retinal nerve fibre layer.

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