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Cerebral sarcoidosis presenting as supranuclear gaze palsy with hypokinetic rigid syndrome
U Schlegel1, P Clarenbach, A Cordt
1Department of Neurology, University Hospital of Bonn, Federal Republic of Germany.
Abstract:
A 31-year-old man with histologically documented pulmonary sarcoidosis developed a severe hypokinetic rigid syndrome with a supranuclear gaze palsy following recurrent lymphocytic meningitis and occlusive hydrocephalus. Magnetic resonance imaging (MRI) showed multiple hyperintense foci in the CNS, not detectable by computed tomography (CT). Long-term steroid therapy led to clinical complete remission.