Recurrent intracerebral hemorrhage from sarcoid angiitis.
BACKGROUND
Sarcoid affecting the central nervous system may cause granulomatous angiitis. Nevertheless, neurosarcoid manifesting as intracerebral hemorrhage has been infrequently reported.


METHODS
A 48-year-old woman with systemic sarcoid developed recurrent intracerebral hemorrhages culminating in death despite treatment with corticosteroids. Pathological examination of the brain revealed inflammatory changes of blood vessels including multinucleated giant cells.


CONCLUSIONS
Sarcoid cerebral angiitis may result in intracerebral hemorrhage. This emphasizes one potentially devastating neurological outcome of this disorder.
Libman
R B
RB
Department of Neurology and Pathology, Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Sharfstein
S
S
Harrington
W
W
Lerner
P
P