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Bagel sign in neuro Behçet’s disease myelitis: neuroimages

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Abstract

Neuro-Behçet’s disease (NBD) is a chronic heterogenous autoimmune disorder. It may involve central or pripheral nervous system but rarely shows spinal cord involvement (SCI). Bagel Sign is a unique sign of SCI due to NBD. It is a central T2W hyperintense lesion with a hypointense core on axial magnetic resonance imaging (MRI). This sign may be a complete or an incomplete ring with or without post-contrast enhancement. Here we report a patient with NBD whose primary presentaion was transverse myelitis. A 14-year-old patient was admitted due to triparesis and urinary retention. He had T2W hyperintensities from the left basal ganglion down to the T10 level. A similar anteromedial spot has been described in anterior spinal cord infarction which favors an ischemic pathogenesis for NBD. To our knowledge this is the first report of Bagel Sign and longitudinally extensive transverse myelitis with gray matter involvement.

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Data availability

The authors included all data generated or analyzed during this study in this published article.

References

  1. Lee HS, Kim DY, Shin HY, Choi YC, Kim SM (2016) Spinal cord involvement in Behçet’s disease. Mult Scler J 22(7):960–963

    Article  CAS  Google Scholar 

  2. Uygunoglu U, Zeydan B, Ozguler Y, Ugurlu S, Seyahi E, Kocer N et al (2017) Myelopathy in Behçet’s disease: The Bagel Sign. Ann Neurol 82(2):288–298

    Article  PubMed  Google Scholar 

  3. Zalewski NL, Rabinstein AA, Krecke KN, Brown RD, Wijdicks EFM, Weinshenker BG et al (2018) Spinal cord infarction: Clinical and imaging insights from the periprocedural setting. J Neurol Sci 15(388):162–167

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Jalal e Al Ahmad, 1411713135, Tehran, Iran

    Bardiya Ghaderi Yazdi & Siamak Abdi

  2. Center for Orthopedic Trans-disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

    Siamak Abdi

Authors
  1. Bardiya Ghaderi Yazdi
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  2. Siamak Abdi
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Contributions

Both authors contributed to the study's conception and design. Dr. Bardiya Ghaderi studied the case, collected the data, and compiled the manuscript. Dr. Siamak Abdi drafted, reviewed, and revised the manuscript for academic content. Both authors commented on previous versions of the manuscript. The manuscript complies with all instructions to authors, authorship requirements have been met, and both authors approved the final manuscript.

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Correspondence to Siamak Abdi.

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Ethical approval and informed consent

We acquired written informed consent to participate and publish from the patient. The Shariati hospital’s ethics commitee approved this study. Our study conforms to the requirements of the Declaration of Helsinki (1989).

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The authors have no relevant financial or non-financial interests to disclose.

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Yazdi, B.G., Abdi, S. Bagel sign in neuro Behçet’s disease myelitis: neuroimages. Neurol Sci 44, 2987–2988 (2023). https://doi.org/10.1007/s10072-023-06815-8

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  • DOI: https://doi.org/10.1007/s10072-023-06815-8

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