Neurosarcoidosis with Recurrent Cranial Neuropathies as Primary Presentation: A Case Report

Sarcoidosis is defined as an immune-mediated disorder characterised by granulomatous inflammation of affected organs. Neurosarcoidosis is demographically reported in 5%-10% of all patients with primary sarcoidosis. A similar genetic mechanism for inflammation compared to active systemic tuberculosis suggests that identical inflammatory pathways are acting in both tuberculosis and sarcoidosis.

We, hereby, report a case of recurrent cranial nerve neuropathy, which was falsely diagnosed as tuberculosis, and the diagnosis of neurosarcoidosis was masked for more than a year.

Any case with recurrent cranial nerve involvement, bilateral lymphadenopathy with multi-system involvement and a history of steroid-dependent resolution of symptoms must be primarily evaluated for sarcoidosis with histological evidence.