Case Report

Hydrocephalus as a Presenting Manifestation of Neurosarcoidosis

Authors: Hossein Akhondi, MD, Sanjay Barochia, MD, Björn Holmström, MD, Mary Jean Williams, MD

Abstract

We present a case of hydrocephalus as the primary manifestation of neurosarcoidosis. Neurologic involvement is a significant cause of morbidity and mortality in patients with sarcoidosis. Detection and management of neurosarcoidosis remains problematic. Although the typical presentation of facial nerve palsy in a documented case of sarcoidosis is not a diagnostic dilemma, more atypical presentations such as hydrocephalus with increased intracranial pressure in a previously healthy patient can be a challenge.

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