Hydrocephalus, a rare manifestation of sarcoidosis.

Abstract

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.

• Authors: Johan M van Rooijen, Gerritje S Mijnhout, Tom T A Aalders, R B J de Bondt
• Journal: Clinics and practice (Clin Pract) Vol. 1 Issue 3 Pg. e66 (Jul 01 2011) ISSN: 2039-7275 [Print] Switzerland
• PMID: 24765327 (Publication Type: Case Reports)