Distinct clinical features between acute and chronic progressive parenchymal neuro-Behçet disease: meta-analysis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-08-31

AUTHORS

Mizuho Ishido, Nobuyuki Horita, Masaki Takeuchi, Etsuko Shibuya, Takahiro Yamane, Tatsukata Kawagoe, Takehito Ishido, Kaoru Minegishi, Ryusuke Yoshimi, Yohei Kirino, Shunsei Hirohata, Yoshiaki Ishigatsubo, Mitsuhiro Takeno, Takeshi Kaneko, Nobuhisa Mizuki

ABSTRACT

Neuro-Behçet's disease (NBD) is subcategorized into parenchymal-NBD (P-NBD) and non-parenchymal-NBD types. Recently, P-NBD has been further subdivided into acute P-NBD (A-P-NBD) and chronic progressive P-NBD (CP-P-NBD). Although an increasing number of studies have reported the various clinical features of A-P-NBD and CP-P-NBD over the last two decades, there was a considerable inconsistency. Two investigators systematically searched four electrical databases to detect studies that provided sufficient data to assess the specific characteristics of A-P-NBD and CP-P-NBD. All meta-analysis was carried out by employing the random-model generic inverse variance method. We included 11 reports consisted of 184 A-P-NBD patients and 114 CP-P-NBD patients. While fever (42% for A-P-NBD, 5% for CP-P-NBD, p < 0.001, I2 = 93%) was more frequently observed in A-P-NBD cases; sphincter disturbances (9%, 34%, P = 0.005, I2 = 87%), ataxia (16%, 57%, P < 0.001, I2 = 92%), dementia (7%, 61%, P < 0.001, I2 = 97%), confusion (5%, 18%, P = 0.04, I2 = 76%), brain stem atrophy on MRI (4%, 75%, P < 0.001, I2 = 98%), and abnormal MRI findings in cerebellum (7%, 54%, P = 0.02, I2 = 81%) were more common in CP-P-NBD. Cerebrospinal fluid cell count (94/mm3, 11/mm3, P = 0.009, I2 = 85%) was higher in A-P-NBD cases. We demonstrated that A-P-NBD and CP-P-NBD had clearly different clinical features and believe that these data will help future studies investigating P-NBD. More... »

PAGES

10196

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-017-09938-z

DOI

http://dx.doi.org/10.1038/s41598-017-09938-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091356651

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28860590


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This table displays all metadata directly associated to this object as RDF triples.

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