Neurosarcoidosis

Case contributed by Zachary Dewyer , 9 Apr 2023
Diagnosis possible
Changed by Liz Silverstone, 26 Jul 2023
Disclosures - updated 6 Dec 2022: Nothing to disclose

Updates to Case Attributes

Diagnostic Certainty changed from 2 to 1.
Presentation was changed:
Patient with pastPast medical history of neurosarcoidosis found unresponsive, febrile, tachycardic and tachypneic. Normal WBC. EEG suggests encephalopathy. Patient intubated and started on antibiotics.
Body was changed:

The original diagnosis of Neurosarcoidosisneurosarcoidosis was made after ruling out other possibilities, imaging findings, and positive response to treatment. Diagnosis has not been confirmed via biopsy.

Neurosarcoidosis is present in about 5% of patients with sarcoidosis. This case highlights the common neurosarcoidosis imaging finding of leptomeningeal involvement (present in about 40% of cases).

This case also demonstrates the severe effects of neurosarcoidosis that may mimic signs of meningitis.

  • -<p>The original diagnosis of Neurosarcoidosis was made after ruling out other possibilities, imaging findings, and positive response to treatment. Diagnosis has not been confirmed via biopsy.</p><p>Neurosarcoidosis is present in about 5% of patients with sarcoidosis. This case highlights the common neurosarcoidosis imaging finding of leptomeningeal involvement (present in about 40% of cases).</p><p>This case also demonstrates the severe effects of neurosarcoidosis that may mimic signs of meningitis.</p>
  • +<p>The original diagnosis of <a href="/articles/neurosarcoidosis" title="Neurosarcoidosis">neurosarcoidosis</a> was made after ruling out other possibilities, imaging findings, and positive response to treatment. Diagnosis has not been confirmed via biopsy.</p><p>Neurosarcoidosis is present in about 5% of patients with sarcoidosis. This case highlights the common neurosarcoidosis imaging finding of leptomeningeal involvement (present in about 40% of cases).</p><p>This case also demonstrates the severe effects of neurosarcoidosis that may mimic signs of meningitis.</p>

Updates to Freetext Attributes

Description was removed:

Upon presentation, the patient was intubated and started on antibiotics to treat him empirically for meningitis. CBC showed normal WBC and EEG was suggestive of severe encephalopathy. Gift of life was notified due to the patient's severe presentation.

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