An uncommon case of neurosarcoidosis presenting as trigeminal neuralgia. Issue 2 (4th March 2021)

• Record Type: Journal Article
• Authors: Slater, Lydia; Slater, Andrew; Braca, John; Le, Brian; Zimmerman, Ryan
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 11:Issue 2(2021)
• Page Start: 224
• Page End: 227
• Publication Date: 2021-03-04
• Subjects: neurosarcoidosis -- sarcoidosis -- trigeminal neuralgia -- trigeminal schwannoma; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2020.1869381
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: Sarcoidosis is a systemic inflammatory condition causing increased immune system activity and manifesting as noncaseating granulomatous disease with the ability to affect multiple organ systems. Neurosarcoidosis is an uncommon presentation, with just 5–10% of patients with sarcoidosis experiencing intracranial disease. The diagnosis of neurosarcoidosis can be difficult, especially given the overlap of imaging findings with more common intracranial lesions. This case presents trigeminal neuralgia as the initial symptom of neurosarcoidosis and emphasizes the importance of a high clinical index of suspicion for neurosarcoidosis in patients with otherwise unexplained neurological symptoms.