Two cases of neurosarcoidosis studied by Gd-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging are reported. Both patients demonstrated multifocal white matter abnormalities that were clustered near regions of intense meningeal enhancement. Presumed spread of neurosarcoidosis along Virchow-Robin spaces was demonstrated, as evidenced by contrast enhancement along the course of vessels supplying some of the white matter abnormalities.