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Case Reports
Neurosarcoidosis: unusual presentations and considerations for diagnosis and management.
- Walid Radwan, Brandon Lucke-Wold, Ibrahim Ahmed Robadi, Kymberly Gyure, Thomas Roberts, and Sanjay Bhatia.
- Department of Neurosurgery, West Virginia University, Morgantown, West Virginia, USA.
- Postgrad Med J. 2017 Jul 1; 93 (1101): 401-405.
BackgroundSarcoidosis is a chronic, multisystem disease characterised by non-necrotising granulomatous inflammation of unknown aetiology. Most commonly, the lungs, lymph nodes, skin and eyes are affected in sarcoidosis; however, nervous system involvement occurs in approximately 5%-15% of cases. Any part of the nervous system can be affected by sarcoidosis.CasesHerein we describe three unusual patient presentations of neurosarcoidosis, one with optic neuritis, a second with hydrocephalus and a third with cervical myelopathy.ConclusionsWe include pertinent details about their presentations, imaging findings, pathology, management and clinical course.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
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