• Medicina clinica · Oct 2020

    Case Reports

    Neurosarcoidosis: Analysis of a series of 20 patients.

    • Lina Carazo Barrios, Manuel Abarca Costalago, Ana Hidalgo Conde, Rocío Arnedo Díez de Los Ríos, Rosa García Portales, and Guillermina García Martín.
    • Servicio de Neurología, Hospital Virgen de la Victoria, Málaga, España.
    • Med Clin (Barc). 2020 Oct 9; 155 (7): 309-312.

    IntroductionNeurosarcoidosis is a rare complication of sarcoidosis. There are small series on the condition and very few from Spain. We conducted a retrospective study of neurosarcoidosis in Virgen de la Victoria Hospital over the last 10 years.Patients And Methodthe medical records of patients diagnosed with sarcoidosis in our setting in the last 10 years were reviewed.ResultsOne hundred twenty patients with sarcoidosis, 20 patients with probable neurosarcoidosis: 30% at the beginning of the illness, 55% later, 15% had isolated neurosarcoidosis. Forty percent had polyneuropathy, 15% cranial neuropathy, 15% myopathy, 10% hemispheric symptoms. OTHERS: headache, myelitis, seizures, confusional syndrome. They were treated with steroids, some of them with immunosuppressive treatment. Seventy-two percent improved or were stabilized. Therefore, neurosarcoidosis prevalence in our hospital was 11%, similar to other published series, with similar features, but polyneuropathy was more frequent. Early diagnosis is very important as prognosis is favourable with treatment.Copyright © 2020 Elsevier España, S.L.U. All rights reserved.

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