Bilateral papilledema with normal CT-scan in neurosarcoidosis.
A 74-year-old woman was admitted with fever, muscle and joint pain and a mild hypercalcemia. Rather suddenly she turned unconscious and bilateral papilledema was found. A subsequent CT of the brain, however, did not disclose signs of space-occupying masses or increased intracranial pressure. She died two days later and at autopsy there were no signs of incarceration. Microscopic examination revealed non-caseating epithelioid granulomas throughout the meninges and brain consistent with sarcoidosis.
Department of Internal Medicine, Aalborg Hospital, Denmark.
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Jensen
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Jensen
D000368:Aged; D001927:Brain Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000150:complications; D010211:Papilledema / Q000150:complications / Q000000981:diagnostic imaging*; D012507:Sarcoidosis / Q000150:complications*; D014057:Tomography, X-Ray Computed