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 (VP...

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Bibliographic Details
Main Authors: Johan M. van Rooijen, Gerritje S. Mijnhout, Tom T.A. Aalders, R.B.J. de Bondt
Format: Article
Language:English
Published: MDPI AG 2011-09-01
Series:Clinics and Practice
Subjects:
Online Access:http://www.clinicsandpractice.org/index.php/cp/article/view/130
Description
Summary: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.
ISSN:2039-7275
2039-7283