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Subarachnoid hemorrhage as presenting feature of isolated neurosarcoidosis

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Summary

A 35-year-old man presented with the clinical picture of spontaneous subarachnoid hemorrhage. Four weeks after the first symptoms he noticed blurred vision, and ophthalmological examination detected bitemporal hemianopia. At this time cerebral computed tomography and magnetic resonance imaging showed enlargement of the optic chiasm, and visual evoked potentials revealed delayed latencies. In the cerebrospinal fluid cells and protein content were elevated, and angiotensin-converting enzyme was detectable. Under steroid treatment the patient recovered completely and computed tomography, magnetic resonance imaging, visual evoked potentials, and cerebrospinal fluid findings became normal. Although a great variety of neurological symptoms may occur in neurosarcoidosis, to our knowledge spontaneous subarachnoid hemorrhage as the presenting feature has never been reported before.

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Abbreviations

ACE:

angiotensin-converting enzyme

CRP:

C-reactive protein

CSF:

cerebrospinal fluid

CT:

computed tomography

ESR:

erythrocyte sedimentation rate

MRI:

magnetic resonance imaging

SAH:

Subarachnoid haemorrhage

VEP:

visual evoked potentials

References

  1. Borucki SJ, Nguyen BV, Ladoulis CT, McKendall RR (1989) Cerebrospinal fluid immunoglobulin abnormalities in neurosarcoidosis. Arch Neurol 46:270–273

    Google Scholar 

  2. Char DH, Unsold R, Sobel DF, Salvolini U, Newton TH (1988) Ocular and orbital pathology. In: Newton TH, Hasso AN, Dillon WP (eds) Computed tomography of the head and neck. Raven Press, New York, pp 9.1–9.64

    Google Scholar 

  3. Edwards KR (1977) Hemorrhagic complications of cerebral arteritis. Arch Neurol 34:549–552

    Google Scholar 

  4. Kumpe DA, Krishna Rao CVG, Garcia JH, Heck AF (1979) Intracranial neurosarcoidosis. J Comput Assist Tomogr 3:324–330

    Google Scholar 

  5. Luke RA, Stern BJ, Krumholz A, Johns CJ (1987) Neurosarcoidosis: the long-term clinical course. Neurology 37:461–463

    Google Scholar 

  6. Moore PM (1989) Diagnosis and management of isolated angiitis of the central nervous system. Neurology 39:167–173

    CAS  PubMed  Google Scholar 

  7. Oksanen V (1986) Neurosarcoidosis: clinical presentations and course in 50 patients. Acta Neurol Scand 73:283–290

    Google Scholar 

  8. Oksanen V, Salmi T (1986) Visual and auditory evoked potentials in the early diagnosis and follow-up of neurosarcoidosis. Acta Neurol Scand 74:38–42

    Google Scholar 

  9. Reske-Nielsen E, Harmsen A (1962) Periangitis and panangitis as a manifestation of sarcoidosis of the brain: report of a case. J Nerv Ment Dis 135:399–412

    Google Scholar 

  10. Schlegel U (1987) Neurosarkoidose: Diagnostik und Therapie. Fortschr Neurol Psychiatr 55:1–15

    Google Scholar 

  11. Stern BJ, Krumholz A, JohnsC, Scott P, Nissim J (1985) Sarcoidosis and its neurological manifestations. Arch Neurol 42:909–917

    Google Scholar 

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Authors and Affiliations

  1. Universitätsklinik für Neurologie, Anichstrasse 35, A-6020, Innsbruck, Austria

    K. Berek, S. Kiechl, J. Willeit, G. Birbamer, G. Vogl & E. Schmutzhard

  2. Institut für Magnetresonanztomographie and Spektroskopie, Innsbruck, Germany

    G. Birbamer

Authors
  1. K. Berek
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  2. S. Kiechl
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  3. J. Willeit
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  4. G. Birbamer
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  5. G. Vogl
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  6. E. Schmutzhard
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Berek, K., Kiechl, S., Willeit, J. et al. Subarachnoid hemorrhage as presenting feature of isolated neurosarcoidosis. Clin Investig 71, 54–56 (1993). https://doi.org/10.1007/BF00210965

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  • DOI: https://doi.org/10.1007/BF00210965

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