1. Neurosarcoidosis presenting as an incidental solitary cranial ring-enhancing lesion
- Author
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Ricardo J. Komotar, Ashish H. Shah, Amade Bregy, Michael Thambuswamy, Mai T. Tran, Joanne T Thambuswamy, and Michael D. Norenberg
- Subjects
medicine.medical_specialty ,Pathology ,intracranial ,neurosarcoidosis ,medicine.diagnostic_test ,business.industry ,Neurosarcoidosis ,Case Report ,General Medicine ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Solitary lesion ,Biopsy ,medicine ,Enhancing Lesion ,Intracranial lesions ,Incidental ,030212 general & internal medicine ,Radiology ,solitary lesion ,business ,030217 neurology & neurosurgery - Abstract
Isolated neurosarcoidosis without prior systemic symptoms is extremely rare, occurring in approximately 2% of patients with neurosarcoidosis. Due to its rarity, mistakes in diagnosis and treatment occur commonly. We present a case of a 47-year-old female who was found to have an incidentally discovered solitary intracranial lesion that mimicked a high-grade neoplasm, but was later confirmed to be neurosarcoidosis. Incidental solitary neurosarcoid granulomas are difficult to diagnose due to its nonspecific clinical and imaging presentations. Early diagnosis by biopsy in these rare incidental cases remains paramount for adequate treatment.
- Published
- 2017