Tuna Tibel, Ozkaya Sevket, Dirican Adem, Erkan Levent
Department of Pulmonary Medicine, Samsun Chest Diseases and Thoracic Surgery Hospital, Samsun, Turkey.
BMJ Case Rep. 2013 May 2;2013:bcr2013009570. doi: 10.1136/bcr-2013-009570.
Sarcoidosis is an idiopathic, chronic granulomatous disease and it can affect almost any organ. In autopsy series, it has been reported that the central nervous system involvement has occurred in 5-16% of the patients with sarcoidosis, while the neurological symptoms have occurred only in 3-9% of them. A 40-year-old female patient was admitted to the hospital with complaints of aphasia, balance disorder and drowsiness. An intracerebral mass was detected on cranial CT scans and neurosarcoidosis was diagnosed with clinical, radiological and histopathological findings.
结节病是一种特发性慢性肉芽肿性疾病,几乎可累及任何器官。在尸检系列研究中,据报道结节病患者中枢神经系统受累发生率为5% - 16%,而出现神经症状的仅占3% - 9%。一名40岁女性患者因失语、平衡障碍和嗜睡入院。头颅CT扫描发现脑内有肿块,结合临床、影像学和组织病理学检查结果诊断为神经结节病。