title: Cerebrovascular symptomatic involvement in sarcoidosis.
abstract: Clinical reports of cerebrovascular system involvement in sarcoidosis are extremely rare though pathological studies frequently describe granulomatous cerebral arterial and venous lesions. We report the case of a 47-year-old man with a history of pulmonary sarcoidosis at age 32 and abducens palsy at age 40, who presented cerebral pseudotumoral histologically proven sarcoidosis. He was admitted for acute left hemiplegia. Brain CT scan and MRI demonstrated a right posterior parietal haematoma associated with a superior sagittal sinus occlusion. He received intravenous corticosteroids and anticoagulant therapy. Six months later, he presented a right motor status epilepticus. MRI revealed new parenchymal haematomas. Cerebral angiography demonstrated cerebral vasculitis.
authors.affiliation: Department of Neurology, CHRU Lille, France. a-degardin@chru-lille.fr
authors.forename: A
authors.initials: A
authors.lastname: Degardin
authors.forename: P
authors.initials: P
authors.lastname: Devos
authors.forename: P
authors.initials: P
authors.lastname: Vermersch
authors.forename: J
authors.initials: J
authors.lastname: de Seze
mesh_terms: D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography / Q000379:methods; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology*; D018450:Disease Progression; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D017565:Sarcoidosis, Pulmonary / Q000150:complications*; D014057:Tomography, X-Ray Computed