Neurosarcoidosis

Case contributed by A.Prof Frank Gaillard

Presentation

Presentation unknown.

Patient Data

Age: 40 years
Gender: Male
MRI

MRI brain

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. 

MRI

MRI brain - 4 years later

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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Case information

rID: 10930
Case created: 2nd Oct 2010
Last edited: 22nd Mar 2016
Inclusion in quiz mode: Included

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