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Hydrocephalus, a rare manifestation of sarcoidosis | van Rooijen | Clinics and Practice
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Hydrocephalus, a rare manifestation of sarcoidosis

Johan M. van Rooijen, Gerritje S. Mijnhout, Tom T.A. Aalders, R.B.J. de Bondt

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.

Keywords


sarcoidosis, hydrocephalus, neurosarcoidosis.

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DOI: http://dx.doi.org/10.4081%2Fcp.2011.e66
Submitted: 2011-07-14 21:48:28
Published: 2011-09-30 12:16:05
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