[Neurosarcoidosis as a cause of manic psychosis].
A case report and a systematic review of the literature show that neurosarcoidosis can present initially as a manic episode with psychotic features. The diagnosis of neurosarcoidosis is based on a combination of clinical features, and radiological and histopathological findings. Contrast-enhanced MRI and lumbar puncture are the most sensitive investigations for detecting neurosarcoidosis. Corticosteroids are the treatment of choice. Very few data are available concerning the efficacy of psychotropic drugs for the treatment of psychiatric symptoms caused by neurosarcoidosis.
De Mulder
D
D
UPC KU leuven, campus Gasthuisberg. diedrikdemulder@hotmail.com
Vandenberghe
J
J
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000175:diagnosis / Q000209:etiology*; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D013129:Spinal Puncture / Q000379:methods
D000305:Adrenal Cortex Hormones