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This case is used in 3 unlisted playlists. In cases of neurosarcoidosis with cranial neuropathy, imaging findings are usually normal, but there may be nerve enhancement. Without systemic disease), central nervous system symptoms are not uncommonly the first manifestation, and as such patients are often imaged without the diagnosis of systemic sarcoidosis having yet been made.
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We review the clinical and imaging findings of central nervous system involvement by sarcoidosis. Diagnostic criteria for neurosarcoidosis include histologic confirmation of noncaseating granulomas, compatible clinical scenario, and confirmatory imaging studies with exclusion of other diagnoses, including infectious agents. Neurosarcoidosis can also mimic common benign skull base neoplasms.
Sarcoidosis can affect patients of all ages and races but is most common in the third and fourth decades.
Csf analysis and routine workup are recommended in all cases to find corroboratory evidence and to rule out mimics. The patient was treated with prednisolone. Incidence is estimated to be around 20 per 100,000 among caucasians. Imaging features favor inflammatory disease of neurosarcoidosis.
The neurosarcoidosis consortium consensus group (nccc) recommends performing brain and spine mri with and without gadolinium depending on the presentation. Mri of the brain with gadolinium contrast is the most important imaging modality in neurosarcoidosis.
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