Neurosarcoidosis presenting as a large suprasellar mass. Magnetic resonance imaging findings.
We present unusual magnetic resonance imaging (MRI) findings in a case of neurosarcoidosis. MRI revealed a large solitary suprasellar mass which resembled a neoplasm. The lesion was isointense and hyperintense on T1-weighted images, hypointense on T2-weighted images, and intensely homogeneously enhancing. Biopsy revealed a polymorphous inflammatory lesion with giant cells, which extended from the hypothalamus, consistent with neurosarcoidosis. The diagnosis of neurosarcoidosis should be considered in patients presenting with large midline tumor-like suprasellar mass lesions.
Millard Filmore Health System, Lucy Dent Imaging Center, Buffalo, New York 14209, USA.
R
R
Bakshi
R A
RA
Fenstermaker
V E
VE
Bates
T P
TP
Ravichandran
S
S
Goodloe
W R
WR
Kinkel
D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D012507:Sarcoidosis / Q000175:diagnosis*