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American Journal of Neuroradiology 28:84-86, January 2007
© 2007 American Society of Neuroradiology

Case Report
BRAIN

Neurosarcoidosis Presenting as Acute Infarction on Diffusion-Weighted MR Imaging: Summary of Radiologic Findings

M.H. Hodgea, R.L. Williamsa and M.B. Fukuia

a From the Department of Radiology, Allegheny General Hospital, Pittsburgh, Pa

Address correspondence to Melanie B. Fukui, MD, Department of Radiology, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212; e-mail: mfukui{at}wpahs.org

SUMMARY: A 36-year-old woman presented with acute-onset right lower extremity paresthesias, dysarthria, right facial droop, and right hemiparesis. CT and MR imaging of the brain revealed extensive white matter disease and left basal ganglia infarction with dural and leptomeningeal enhancement. Differential considerations included vasculitis, granulomatous disease, and neoplasm. Chest, abdomen, and pelvis CTs were normal. Right temporal lobe biopsy revealed noncaseating granulomatous inflammation consistent with neurosarcoidosis.




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Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X