Sarcoidosis presenting with stroke.
A 25-year-old black man with sarcoidosis presented with transient ischemic attacks followed by sudden, persistent right hemiparesis. He gave a history of recent, recurrent lower motor neuron facial palsy. Computed tomography demonstrated an infarct in the left internal capsule. Chest x-ray film showed bilateral hilar and mediastinal lymphadenopathy and multiple opacities in the lung fields. Serum angiotensin converting enzyme concentration was raised, and a Kveim test was positive for sarcoidosis. Despite clear pathologic reports of cerebral vasculitis in neurosarcoidosis, the occurrence of stroke is extremely rare.
Brown
M M
MM
Department of Neurology, London Hospital, England.
Thompson
A J
AJ
Wedzicha
J A
JA
Swash
M
M
D000328:Adult; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology*; D005158:Facial Paralysis / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007731:Kveim Test; D008168:Lung / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D013902:Radiography, Thoracic; D012075:Remission, Spontaneous; D012129:Respiratory Function Tests; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed