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Neurological picture
Cerebral venous thrombosis in Behçet’s disease
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  1. S FENWICK,
  2. A GOONETILLEKE,
  3. C G SANTOSH,
  4. P K NEWMAN
  1. Department of Neurology, Middlesbrough General Hospital, Ayresome Green Lane, Middlesbrough TS5 5AZ, UK
  1. Dr A Goonetilleke, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK.

http://dx.doi.org/10.1136/jnnp.63.4.419

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    A 22 year old man presented acutely with blurred vision and headache. He had recurrent oral (top left) and genital ulcers (top middle), erythema nodosum (top right), and a positive pathergy test, fulfilling the criteria for Behçet’s disease. There was bilateral papilloedema, and a CSF pressure of 45 cm H2O. Plain head CT showed a dense triangle (arrow, bottom left) and an empty delta sign after contrast (arrow, bottom middle), suggestive of a superior sagittal sinus thrombosis. Magnetic resonance venography showed a flow void consistent with thrombosis within the superior sagittal and left lateral sinuses (arrowheads and arrow respectively, bottom right).