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Neurosarcoidosis: evaluation using computed tomography and magnetic resonance imaging
S D Cooper1, M B Brady, J P Williams
1Department of Radiology, University of South Alabama, Mobile 36617.
The Journal of Computed Tomography
|April 1, 1988
Summary
Central nervous system sarcoidosis can affect the spinal cord and brain. Advanced imaging like MRI and CT scans help diagnose these rare neurological conditions.
Area of Science:
- Neurology
- Radiology
- Immunology
Background:
- Central nervous system sarcoidosis is a rare granulomatous inflammatory disease.
- It can manifest with diverse neurological symptoms and imaging findings.
Observation:
- Two patients with unusual central nervous system sarcoidosis were evaluated.
- Imaging studies included computed tomography (CT) and magnetic resonance imaging (MRI).
Findings:
- One patient presented with spinal cord and nerve root involvement, showing complete recovery after steroid treatment.
- The second patient had optic nerve and intracranial lesions with granulomatous arachnoiditis. MRI was superior to CT for intracranial evaluation but comparable for orbital imaging.
Implications:
- This case series highlights the varied presentations of neurosarcoidosis.
- It underscores the utility of advanced neuroimaging in diagnosis and management.
- Early diagnosis and treatment are crucial for favorable outcomes in neurosarcoidosis.
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