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Sarcoid meningitis with fulminant delirium and markedly abnormal cerebrospinal fluid
James M Noble1, Christopher Todd Anderson, Mill Etienne
1Department of Neurology, Columbia University Medical Center, New York, NY 10032, USA.
Objective:
To describe a patient with an acute fulminant delirium and eventual spinal fluid block secondary to sarcoid meningitis.
Design:
Case report.
Setting:
Hospital and Neurology Clinic.
Patient:
A previously healthy, 24-year-old man.
Interventions:
Antimicrobials, corticosteroids, lumbar puncture, myelography, and lymph node biopsy.
Main Outcome Measures:
Cerebrospinal fluid, clinical status.
Results:
The patient improved after treatment with corticosteroids.
Conclusion:
Sarcoid meningitis may present with delirium and spinal block.
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