Ogawa Y, Higuchi E, Koga H, Tanaka Y, Tokisawa S, Rikimaru T, Ichikawa Y, Oizumi K
First Department of Internal Medicine, Kurume University School of Medicine, Fukuoka, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Jun;32(6):602-5.
The patient was a 20-year-old female who complained of hoarseness and dysphagia. Chest X-ray showed bilateral hilar lymphadenopathy. Sarcoidosis was diagnosed histologically on the basis of granuloma without necrosis, by transbronchial lung biopsy (TBLB). Bronchofiberscopic findings revealed no granuloma of the vocal cords. Examination of the central nervous system with MRI identified no abnormalities. Hoarseness and dysphagia were thought to have been caused by glossopharyngeal and vagus nerve paresis. These signs improved markedly after two weeks of steroid therapy. This is a rare case of sarcoidosis associated with glossopharyngeal & vagus nerve paresis.
