Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease
Joint Authors
Yumoto, Tetsuya
Naito, Hiromichi
Nakao, Atsunori
Otsuka, Yuki
Ihoriya, Hiromi
Matsumoto, Namiko
Sato, Kota
Abe, K.
Source
Case Reports in Emergency Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Managing acutely agitated or violent patients in the emergency department (ED) represents a significant challenge.
Acute agitation as an initial manifestation of neuro-Behcet’s disease (NBD) is an extremely rare clinical entity.
A 44-year-old male, who had been complaining about a severe headache and fever for several days, was admitted to our ED due to acutely presented incontinence and agitation.
On admission, physical restraint and sedation with sevoflurane and propofol were required for his combative and violent behavior.
Cerebrospinal fluid examination revealed increased cell count.
Fluid attenuated inversion recovery magnetic resonance imaging showed a high intensity signal in the left parietal lobe and bilateral occipital lobe.
As infectious meningoencephalitis was suspected, empirical therapy was immediately started.
He recovered uneventfully without neurological defect in seven days.
Based on positive human leukocyte antigen B-51 and clinical manifestations, the diagnosis of NBD was made and remitted by steroid therapy.
Although acute NBD commonly presents with focal neurological symptoms, psychiatric symptoms could be considered the first manifestation.
A focused and thorough examination coupled with appropriate management strategies can assist emergency clinicians safely and effectively manage these patients.
American Psychological Association (APA)
Otsuka, Yuki& Yumoto, Tetsuya& Ihoriya, Hiromi& Matsumoto, Namiko& Sato, Kota& Abe, K.…[et al.]. 2018. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
Modern Language Association (MLA)
Otsuka, Yuki…[et al.]. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
American Medical Association (AMA)
Otsuka, Yuki& Yumoto, Tetsuya& Ihoriya, Hiromi& Matsumoto, Namiko& Sato, Kota& Abe, K.…[et al.]. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143211