Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report

Sarcoidosis causes granulomatous inflammation in multiple organ systems. Lungs are the most commonly affected organs. In 50% of the cases with lung involvement, other organs are also involved. The central nervous system is one of the rarer organ systems involved – comprising 5–15% of all the cases....

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Autores principales:	Barun Kumar Ray, Rahul Kumar Thakur, Anish Kumar Shah, Biplov Adhikari, Dipesh Kumar Mandal, Ranjit Pandey
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	neurosarcoidosis chronic headache meningeal tuberculosis facial nerve palsy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4663ca0eb8be419fac7ca64d7fe23f50
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spelling	oai:doaj.org-article:4663ca0eb8be419fac7ca64d7fe23f502021-11-18T11:08:45ZNeurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report1662-680X10.1159/000519771https://doaj.org/article/4663ca0eb8be419fac7ca64d7fe23f502021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519771https://doaj.org/toc/1662-680XSarcoidosis causes granulomatous inflammation in multiple organ systems. Lungs are the most commonly affected organs. In 50% of the cases with lung involvement, other organs are also involved. The central nervous system is one of the rarer organ systems involved – comprising 5–15% of all the cases. Neurological involvement, when present, can affect virtually every part of the central and peripheral nervous system. We present an interesting case of a 30-year-old nonalcoholic, nonsmoker man who presented with a chronic headache of 6 years. He had a recent swaying of the body for 6 months and mild forgetfulness for 4 months. The patient had 2 episodes of facial nerve palsy in the past – which had responded to the treatment of Bell’s palsy; however, the patient had some residual findings on presentation. While CSF findings suggested meningeal tuberculosis, the radiological evidence and biopsy confirmed the diagnosis of neurosarcoidosis. On follow-up after 6 weeks of steroid therapy, the patient displayed a marked improvement in headache, cognitive function, and a good response on imaging studies. Our case emphasizes that neurosarcoidosis should be considered in the differential diagnosis of chronic headaches and recurrent facial nerve palsy despite being very rare.Barun Kumar RayRahul Kumar ThakurAnish Kumar ShahBiplov AdhikariDipesh Kumar MandalRanjit PandeyKarger Publishersarticleneurosarcoidosischronic headachemeningeal tuberculosisfacial nerve palsyNeurology. Diseases of the nervous systemRC346-429ENCase Reports in Neurology, Vol 13, Iss 3, Pp 687-692 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	neurosarcoidosis chronic headache meningeal tuberculosis facial nerve palsy Neurology. Diseases of the nervous system RC346-429
spellingShingle	neurosarcoidosis chronic headache meningeal tuberculosis facial nerve palsy Neurology. Diseases of the nervous system RC346-429 Barun Kumar Ray Rahul Kumar Thakur Anish Kumar Shah Biplov Adhikari Dipesh Kumar Mandal Ranjit Pandey Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
description	Sarcoidosis causes granulomatous inflammation in multiple organ systems. Lungs are the most commonly affected organs. In 50% of the cases with lung involvement, other organs are also involved. The central nervous system is one of the rarer organ systems involved – comprising 5–15% of all the cases. Neurological involvement, when present, can affect virtually every part of the central and peripheral nervous system. We present an interesting case of a 30-year-old nonalcoholic, nonsmoker man who presented with a chronic headache of 6 years. He had a recent swaying of the body for 6 months and mild forgetfulness for 4 months. The patient had 2 episodes of facial nerve palsy in the past – which had responded to the treatment of Bell’s palsy; however, the patient had some residual findings on presentation. While CSF findings suggested meningeal tuberculosis, the radiological evidence and biopsy confirmed the diagnosis of neurosarcoidosis. On follow-up after 6 weeks of steroid therapy, the patient displayed a marked improvement in headache, cognitive function, and a good response on imaging studies. Our case emphasizes that neurosarcoidosis should be considered in the differential diagnosis of chronic headaches and recurrent facial nerve palsy despite being very rare.
format	article
author	Barun Kumar Ray Rahul Kumar Thakur Anish Kumar Shah Biplov Adhikari Dipesh Kumar Mandal Ranjit Pandey
author_facet	Barun Kumar Ray Rahul Kumar Thakur Anish Kumar Shah Biplov Adhikari Dipesh Kumar Mandal Ranjit Pandey
author_sort	Barun Kumar Ray
title	Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
title_short	Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
title_full	Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
title_fullStr	Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
title_full_unstemmed	Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report
title_sort	neurosarcoidosis presenting as young-onset chronic headache: a case report
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/4663ca0eb8be419fac7ca64d7fe23f50
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Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report

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