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Behçet's syndrome may present with partial seizures
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  1. SIMON MEAD
  1. MRC Prion Unit, Imperial College
  2. St Mary's Hospital, Norfolk Place
  3. London W2 1PG, UK
  4. Royal Free Hospital, Hampstead, London, UK
  5. Royal Free Hospital, Queen Square, London WC1N 3BG, UK
  1. Dr Gordon Plant, Royal Free Hospital, Queen Square, London WC1N 3BG, UK
  1. DESMOND KIDD
  1. MRC Prion Unit, Imperial College
  2. St Mary's Hospital, Norfolk Place
  3. London W2 1PG, UK
  4. Royal Free Hospital, Hampstead, London, UK
  5. Royal Free Hospital, Queen Square, London WC1N 3BG, UK
  1. Dr Gordon Plant, Royal Free Hospital, Queen Square, London WC1N 3BG, UK
  1. CATRIONA GOOD,
  2. GORDON PLANT
  1. MRC Prion Unit, Imperial College
  2. St Mary's Hospital, Norfolk Place
  3. London W2 1PG, UK
  4. Royal Free Hospital, Hampstead, London, UK
  5. Royal Free Hospital, Queen Square, London WC1N 3BG, UK
  1. Dr Gordon Plant, Royal Free Hospital, Queen Square, London WC1N 3BG, UK

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A 25 year old right handed male shop assistant presented with seizures, visual problems, and malaise. The first symptoms were arthralgia and fatigue shortly followed by a bifrontal headache. A few days later he developed a visual disturbance that he described as peripheral blurred patches in both visual fields similar to the effect of staring into a bright light. About 2 weeks from the onset of symptoms he was driving when he had numerous episodes of deja vu and three episodes of a pungent sickly smell. He then lost consciousness and crashed his car into a public house without serious injury. An off duty nurse witnessed a generalised tonic-clonic seizure at the time. He was admitted to hospital and investigated but no diagnosis was made. The headache stopped completely in a month; the visual defects improved slightly but persisted. Six months later he had a relapse with recurrent headaches, pyrexia, and enlargement of the scotoma in the right eye and he was readmitted. He had had recurrent oral ulceration for 3 years and psoriasis since childhood, but no genital ulceration, red eyes, or venous thrombosis.

On examination he had a low grade pyrexia. General examination was otherwise normal with no …

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