PAPILLEDEMA IN BEHCETS SYNDROME

Six patients with Behcet''s syndrome (5 male, 1 female) had intracranial hypertension diagnosed by elevated CSF pressure in the presence of normal or small ventricles. All 6 patients had headaches and papilledema. Histories included oral ulcers in 5 patients, genital ulcers in 3, uveitis in 1, arthralgia in 4 and thrombophlebitis in 3. One patient had obstruction of the superior vena cava. A filling defect in the superior sagittal sinus was shown in 2 patients by carotid angiography, and cerebral circulation time was prolonged in 1 patient. Papilledema and intracranial hypertension as a result of cerebral vein thrombosis can be initial manifestations of Behcet''s syndrome. This is not a well-recognized feature of the syndrome.