Literature DB >> 19339022

Truncal polyradiculopathy due to sarcoidosis.

Akiyuki Uzawa1, Shigeyuki Kojima, Tadahiro Yonezu, Toshihide Kanesaka.   

Abstract

We report the case of a 43-year-old woman who developed multiple cranial nerve palsy, the symptoms of which included hyposmia, visual loss, facial hypoesthesia, facial weakness, dysphagia, gustatory disturbance, and sensory disturbance of the trunk and ulnar side of the bilateral arms. The clinical features included swelling of the bilateral hilar lymph nodes, uveitis, an elevated serum angiotensin-converting enzyme level, and negative tuberculin reactions, which led to a diagnosis of neurosarcoidosis. Her symptoms improved after administration of steroids. An elevated cerebrospinal fluid cell count and protein level, a low-frequency F-wave and slightly decreased sensory nerve action potentials in bilateral ulnar nerves by nerve conduction studies, and normal findings in the spine by magnetic resonance imaging suggested that truncal hypoesthesia was caused by polyradiculopathy. Although rare, in patients with neurosarcoidosis, truncal polyradiculopathy is noteworthy findings in addition to cranial nerve palsy.

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Year:  2009        PMID: 19339022     DOI: 10.1016/j.jns.2009.03.005

Source DB:  PubMed          Journal:  J Neurol Sci        ISSN: 0022-510X            Impact factor:   3.181


  2 in total

1.  Sarcoidosis of the central nervous system: clinical features, imaging, and CSF results.

Authors:  Desmond P Kidd
Journal:  J Neurol       Date:  2018-06-19       Impact factor: 4.849

2.  Neurosarcoidosis resulting in thoracic radiculopathy: a case report.

Authors:  Hayam Hamodat; Allen Tran
Journal:  J Med Case Rep       Date:  2019-05-05
  2 in total

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