Neuro-Behcet’s disease in a case with papilledema and intracranial hypertension as the initial presentation

Abstract

A 27-year-old female presented to the Clinic of Ophthalmology with the complaints of photophobia, headache, and diplopia.An ophthalmological examination indicated that her best-corrected visual acuity was 20/20 in both eyes with decreased contrastsensitivity. Fundoscopic examination revealed bilateral papilledema. The cerebrospinal fluid opening pressure was abovenormal at 38.5 cm H2O. Cranial magnetic resonance imagining venography revealed left lateral sinus thrombosis and rightlateral sinus retardation of filling. Based on her history, laboratory tests, and neuro-imaging findings, she was diagnosed withvascular neuro-Behcet’s disease (NBD). It is important to consider NBD in the differential diagnosis of patients with bilateralpapilledema and intracranial hypertension.