Neurosarcoidosis presenting as an intracranial mass in childhood.
A 13-year-old boy presented with bilateral panuveitis and a superior oblique palsy. Exhaustive laboratory workup was unremarkable, but magnetic resonance imaging (MRI) revealed an enhancing pontine mass. The mass was resected, and histopathology revealed a necrotizing granuloma. Although rare, particularly in the pediatric population, the combination of panuveitis and an intracranial mass likely represents sarcoidosis. Necrosis, although also rare, may similarly be seen in neurosarcoidosis.
Leiba
H
H
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, FL 33163, USA.
Siatkowski
R M
RM
Culbertson
W W
WW
Glaser
J S
JS
D000293:Adolescent; D001921:Brain / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis*; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009336:Necrosis; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis; D015864:Panuveitis / Q000175:diagnosis; D012507:Sarcoidosis / Q000175:diagnosis*