Dural sarcoidosis presenting with transient neurologic symptoms

Area of Science:

• Neurology
• Immunology
• Pathology

Background:

• Sarcoidosis is an inflammatory disease characterized by granuloma formation.
• Granulomas in neurosarcoidosis can affect the central nervous system, though cerebrovascular events are uncommon.

Observation:

• A 43-year-old male presented with recurrent transient neurological deficits, including dysarthria and hemiparesis.
• Cerebral imaging revealed a subdural mass lesion consistent with sarcoidosis.

Findings:

• A biopsy confirmed neurosarcoidosis.
• The patient experienced complete resolution of neurological symptoms and the subdural mass following corticosteroid therapy.

Implications:

• This case highlights neurosarcoidosis as a treatable cause of transient ischemic attack-like symptoms.
• Early diagnosis and corticosteroid treatment are crucial for managing neurosarcoidosis and preventing long-term neurological damage.