Neurosarcoidosis Manifesting as Cerebral Metastasis-Like Lesion



Introduction: Sarcoidosis is a systemic granulomatous disease that is still of undetermined aetiology. Neurosarcoidosis (NS) is an uncommon but potentially serious manifestation of sarcoidosis.

Case Report: We describe a case of neurosarcoidosis with initial presentation as confusion. The results of his imaging studies favoured the diagnosis of lung cancer with cerebral metastasis. Tran bronchial lung biopsies provided systemic disease histologic confirmation of sarcoidosis. He was started on steroids with subsequent clinical and radiological improvement.

Discussion and Conclusion: There are a wide variety of clinical presentations of neurosarcoidosis. Both clinically and radiographically, NS can be difficult to diagnose. We want to highlight the importance of histological contribution in redressing the diagnosis of NS and improving the prognosis as NS could be a treatable disease.

                 Keywords: Neurosarcoidosis, Confusion, Metastasis-like, Biopsy, Corticosteroid

Citation: Emna Sansa, Samia Ben Sassi, Fatma Nabli, Zakaria Saied, Cyrine Jridi, Amine Rachdi and Samir Belal “Neurosarcoidosis Manifesting as Cerebral Metastasis-Like Lesion”. SVOA Neurology 2:2(2021) Pages 52-57.