Vereş L, Mihăescu T
Spitalul clinic de pneumoftiziologie, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1990 Apr-Jun;94(2):421-4.
Sarcoidosis can involve any tissue in the body and, consequently, the disease presents to clinicians of many different disciplines. We report two cases of sarcoidosis involvement of the nervous system: one male patient with right facial nerve palsy and a cutaneous involvement (supraorbital subcutaneous nodule) associated with bilateral hilar adenopathy; and a female patient presenting a hypothalamus involvement with diabetes insipidus, obesity, lethargy, sleep disturbances and amenorrhoea. In the later case an upper respiratory tract involvement was also present with nasal and tonsils sarcoidosis. A review of the clinical manifestations of neurosarcoidosis and the criteria for establishing the diagnosis is presented.
结节病可累及身体的任何组织,因此,该疾病会出现在许多不同学科的临床医生面前。我们报告两例结节病累及神经系统的病例:一例男性患者患有右侧面神经麻痹,伴有皮肤受累(眶上皮下结节)及双侧肺门淋巴结肿大;另一例女性患者表现为下丘脑受累,伴有尿崩症、肥胖、嗜睡、睡眠障碍和闭经。在后一例中,还存在上呼吸道受累,表现为鼻腔和扁桃体结节病。本文对神经结节病的临床表现及诊断标准进行了综述。