Neuro-Behcet’s Disease Presented with One-and-a-Half Syndrome

Authors

  • F. Budak Kocaeli Medical Faculty, Neurology Department, Turkey
  • H. Kaya Kocaeli Medical Faculty, Neurology Department, Turkey
  • B. Özkara Kocaeli Medical Faculty, Neurology Department, Turkey

DOI:

https://doi.org/10.12974/2309-6179.2017.05.03

Keywords:

Behçet disease, one- and -a-half syndrome, horizontal gaze, dorsal pons.

Abstract

One-and-a-half syndrome is characterized by conjugate horizontal gaze palsy in one direction side and internuclear ophtalmoplegia in the other side. This syndrome occurs with lesions in the dorsal pontine tegmentum involving the ipsilateral PPRF or the abducens nucleus and have to extend the ipsilateral MLF.

The report describes a patient with Behcet disease who developed one-and-a-half syndrome as a result of pontine tegmentum involvement. 

References

Dalvi SR, Yıldırım R and Yazıcı Y. Behcet’s Syndrome, Drugs 2012; 72(17): 2223-41. https://doi.org/10.2165/11641370-000000000-00000

Akman-Demir G, Serdaroglu P and Tasçı B. Clinical patterns of neurological involvement in Behçet's disease: evaluation of 200 patients. The Neuro-Behçet Study Group, Brain 1999; 122 (Pt 11): 2171-82. https://doi.org/10.1093/brain/122.11.2171

Fisher CM. Some neuro-ophtalmological observations. J Neurol Neurosurg Psychiatry 1967; 30(5): 383-392. https://doi.org/10.1136/jnnp.30.5.383

Wall M and Wray SH. The one-and-a-half syndrome a unilateral disorder of the pontine tegmentum a study of 20 cases and review of the literatüre, Neurology 1983; 33: 971-980. https://doi.org/10.1212/WNL.33.8.971

Anderson CA, Sandberg E, Filley CM, Harris SL and Tyler KL. One-and-a-half syndrome with supranuclear facial weakness: magnetic resonance imaging localization. Arch Neurol 1999; 56 (12): 1509-1511. https://doi.org/10.1001/archneur.56.12.1509

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Published

2017-02-27

How to Cite

Budak, F., Kaya, H., & Özkara, B. (2017). Neuro-Behcet’s Disease Presented with One-and-a-Half Syndrome. Journal of Neurology and Epidemiology, 5, 9–11. https://doi.org/10.12974/2309-6179.2017.05.03

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Articles