Mild cognitive disorder as clinical manifestation of pituitary stalk neurosarcoidosis: case report.
A case is presented of a 59-year-old male patient with a 5-year history of sarcoidosis. In the last half a year, deterioration of his intellectual abilities was noticed. Psychological testing detected a mild cognitive disorder. Laboratory diagnostics found a decreased level of testosterone and magnetic resonance imaging showed pituitary stalk neurosarcoidosis without any other pathomorphological substrate of cognitive impairment. This case indicates that neurosarcoidosis should be considered as a possible cause of mild cognitive disorder and, consequently, included in the International Classification of Mental and Behavioural Disorders.
University Department of Neurology, Split University Hospital Center, Split, Croatia. marina.titlic@gmail.com
Marina
M
Titlić
Kresimir
K
Dolić
Nada
N
Besenski
D002493:Central Nervous System Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D060825:Cognitive Dysfunction / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010900:Pituitary Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D010902:Pituitary Gland; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed