Hydrocephalus, a rare manifestation of sarcoidosis.
A 36-week-pregnant woman developed a symptomatic hydrocephalus. Chest imaging showed bihilar lymphadenopathy and histological examination of a mediastinal lymph node revealed non-caseating granulomas. After delivery, her neurologic complaints progressed. Placement of a ventriculoperitoneal drain (VPD) did not reduce the symptoms. However, steroids resulted in rapid disappearance of the hydrocephalus. Hydrocephalus is a very rare manifestation of sarcoidosis. The diagnosis relies on the ability of clinicians to recognize this disorder. This case shows how a difference in opinion of the several specialists involved can lead to a delay in diagnosis and treatment.
Departments of Internal Medicine;
Johan M
JM
van Rooijen
Departments of Internal Medicine;
Gerritje S
GS
Mijnhout
Neurosurgery;
Tom T A
TT
Aalders
Radiology, Isala Clinics, Zwolle, the Netherlands.
R B J
RB
de Bondt
hydrocephalus; neurosarcoidosis.; sarcoidosis