Cervical Syringomyelia in a Bechet Disease with SLE-associated Clinical Symptoms: A Case report

Author(s): Supriya Peshin, Fnu Warsha, Fnu Vineesha, Dilpat Kumar, Fnu Sindhu, Fnu Vishal, Fnu Anum

Behçet’s disease, an inflammatory disorder with oral and genital ulcers and ocular involvement, rarely presents with syringomyelia, characterized by cystic spinal cord expansion. A 39-year-old female with Behçet’s disease developed severe neck pain radiating into her arms. Despite ongoing treatment with hydroxychloroquine, colchicine, and pain management, MRI revealed cervical syringomyelia. Conservative management was insufficient, necessitating referral to a tertiary neurosurgeon. This case illustrates the diagnostic and management challenges of overlapping autoimmune and neurological conditions. It emphasizes the need for a multidisciplinary approach and ongoing treatment adjustments. Managing Behçet’s disease complicated by syringomyelia requires an integrated strategy and careful monitoring to optimize patient outcomes.

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