Radiological manifestations of neurosarcoidosis: Report of three cases and review of literature

Lawrence, W.P.; Gammal, T el; Pool, Winford H.; Apter, Lewis

doi:10.1016/s0009-9260(74)80165-0

Cited by 35 publications

(6 citation statements)

References 24 publications

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“…Radiological findings in sarcoidosis of the central nervous system have been discussed by Saltzman (1958), Lawrence et al (1974), Lukin et al (1975) and Bahr et al (1978). Ca se 3 of Lawrence et al is of interest in that carotid angiography showed multiple short narrowings with intervening dilatation in the anterior and middle cerebral arteries, suggesting granulomatous angiitis.…”

Section: Radiological Findingsmentioning

confidence: 95%

Sarcoidosis

Scadding

Mitchell

1985

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Section: Radiological Findingsmentioning

confidence: 95%

Sarcoidosis

Scadding

Mitchell

1985

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“…19 Corticosteroids are the treatment of choice for intracranial sarcoid mass lesions. Com¬ plicated migraine cannot be ruled out, but the typical march of paresthesia14 or weakness was absent, and the patient had no visual disturbances.…”

Section: Report Of a Casementioning

confidence: 99%

Dural Sarcoidosis Presenting With Transient Neurologic Symptoms

Sethi¹,

Gammal²,

Patel³

et al. 1986

Archives of Neurology

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“…According to a previous study, an occlusion of the A 1 segment of the ACA was considered to be caused by infl ammation extending to the proximal ACA because the patient had a granulomatous mass adjacent to the distal ICA [2] . Another study reported segmental narrowing and dilatation of large cerebral arteries [7] , but clinical correlation was not made. To our knowledge, there has been only one reported patient who had moyamoya-like vasculopathy associated with sarcoidosis [3] .…”

Section: Discussionmentioning

confidence: 98%

Moyamoya-Like Vascular Abnormality in Pulmonary Sarcoidosis

Kim

No²

2006

Cerebrovasc Dis

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Cigarette smoking, alcohol ingestion and any regular medications including birth control pills were denied. Family history of stroke was also denied. Physical and neurological examination revealed no abnormal signs except for bilaterally decreased superfi cial sensation in the distribution from the right 2nd thoracic and left 8th cervical to bilateral 2nd lumbar segments.Laboratory results revealed decreased platelet count (125 ! 10 3 /mm 3 ) and an elevated serum angiotensin-converting enzyme level (67.8 U/l, normal range 8-52 U/l). Electrocardiogram was normal. Chest X-ray and CT scan showed bilateral hilar and mediastinal lymphadenopathy. Specimens obtained from transbronchial lung biopsy revealed noncaseating granulomas, which was consistent with sarcoidosis.Transfemoral cerebral angiography showed bilateral occlusion of the internal carotid arteries (ICAs) at the terminal portion ( fi g. 2 ). There were no defi nite basal moyamoya vessels. Collateral circulation was provided by the vertebrobasilar system through posterior communicating arteries and by external carotid arteries through transdural anastomosis via meningeal arteries. Brain SPECT disclosed perfusion defect on the right frontal cortex and decreased perfusion reserve in the anterior cerebral artery (ACA) and middle cerebral artery (MCA) territory bilaterally. MRIs of the cervical and thoracic spine showed no signifi cant abnormalities. CSF examination results were within normal limits. Needle EMG examination showed fi brillation potentials and positive sharp waves in 2-8 left thoracic and 3-7 right paraspinal muscles, indicating bilateral thoracic radiculopathy.

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Radiological manifestations of neurosarcoidosis: Report of three cases and review of literature

Cited by 35 publications

References 24 publications

Sarcoidosis

Sarcoidosis

Dural Sarcoidosis Presenting With Transient Neurologic Symptoms

Moyamoya-Like Vascular Abnormality in Pulmonary Sarcoidosis

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