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Patient Data
Age: 40 years
Gender: Male
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Multiple patchy region of increased T2 signal are demonstrated associated with contrast enhancement. Some of the these are periventricular, some are subcortical and others are in the brainstem.
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4 years later enhancement persists but has altered in appearance and distribution.
Case Discussion
This patient had systemic sarcoidosis diagnosed on histology from a lung biopsy. Changes are consistent with neurosarcoidosis. The presence of enhancement 4 years later strongly argues against demyelination.
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