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Neurosarcoidosis: unusual presentations and considerations for diagnosis and management
Walid Radwan1, Brandon Lucke-Wold2, Ibrahim Ahmed Robadi3
1Department of Neurosurgery, West Virginia University, Morgantown, West Virginia, USA.
Background:
Sarcoidosis 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.
Cases:
Herein we describe three unusual patient presentations of neurosarcoidosis, one with optic neuritis, a second with hydrocephalus and a third with cervical myelopathy.
Conclusions:
We include pertinent details about their presentations, imaging findings, pathology, management and clinical course.
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