The Neurologist · 2011 · 12 citations · 0 references
MedicineNeurologyNeuroscienceCognitive NeurologyCranial Nerve DisordersNeuropathologyCerebral EdemaCerebrovascular DiseaseHeadache DisordersIntracerebral HemorrhageLeptomeningeal DiseaseStrokeCerebral VasculopathyFocal Neurological DeficitsInflammatory Cranial Nerve PalsiesLeptomeningeal SpreadNeurologic Involvement In VasculitisSymptomatic Intracranial HemorrhageWhite Matter AbnormalitiesWhite Matter Lesions
Neurosarcoidosis has a variety of clinical presentations. Common manifestations include leptomeningeal inflammation with seizures, headache, cranial nerve palsies, hydrocephalus, or focal neurological deficits with white matter lesions or mass lesions. Stroke is relatively rare, and hemorrhage is much less common than ischemia due to vasculitis. We present a patient with histopathologically confirmed neurosarcoidosis presenting with headache, seizures, and cognitive decline with multiple recurrent primary intracerebral hemorrhages.