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A Case of Neurosarcoid Presenting as Multiple Intraparenchymal Hemorrhages by Amit Mehta; Fahad Khan; Chris Wagner; Taymour Hashemzadeh; Andrew Stemer; Emily A Sloan; Douglas Mayson; Faria Amjad is a Medicine article available to read on EtoBox.

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This report explores the case of a 49-year-old African American male with a six-month history of multifocal neurological deficits who presented to an outside hospital after a generalized seizure. Patient was transferred to our tertiary medical center after brain imaging showed multiple bilateral supratentorial intraparenchymal hemorrhages (IPH). A brain biopsy confirmed parenchymal and perivascular non-caseating granulomas with vasculitis. The patient was definitively diagnosed with neurosarcoidosis (NS) and his condition improved with high dose corticosteroids and additional immunosuppressive therapies. Intracranial hemorrhage in the setting of NS is extremely rare, with fewer than thirty documented cases; however, this is likely an underestimation of its true prevalence. This case illustrates the difficulty in diagnosis as many other etiologies of IPH must be considered. Additionally, the clinical course and manifestations of NS is often quite variable. The uniqueness of this case lies in the rapid progression from seemingly incidental microhemorrhages to multiple large IPHs over two months. While the cause of this progression is not immediately apparent, a possible cause may be

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Author

Amit Mehta; Fahad Khan; Chris Wagner; Taymour Hashemzadeh; Andrew Stemer; Emily A Sloan; Douglas Mayson; Faria Amjad

Publisher

SAGE Publications

Published

2021

Language

EN

Field

Medicine (Health Sciences)