Neurosarcoidosis presenting as normal pressure hydrocephalus in a patient with pulmonary sarcoidosis

Authors

Sushmita Prabhu, Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USAFollow
Pramukh Arun Kumar, Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA
Sumukh Arun Kumar, Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA
Mahati Dasari, Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA
Ajay Kumar Mishra, Department of Cardiology, Saint Vincent Hospital, Worcester, Massachusetts, USA
Justin Donaghy, Department of Community Neuroscience Services, Saint Vincent Hospital, Worcester, Massachusetts, USA

Abstract

A gentleman in his early 50’s with past medical history significant for biopsy confirmed pulmonary sarcoidosis presented with acute onset confusion, gait disturbance and bowel/urinary incontinence. Brain imaging was consistent with normal pressure hydrocephalus and CSF studies supported the suspicion of neurosarcoidosis. He received treatment with a prolonged course of steroids with good effect. We discuss a rare case of normal pressure hydrocephalus as a presenting feature of neurosarcoidosis and the rationale of starting empiric treatment for probable diagnosis of the same.

Recommended Citation

Prabhu, Sushmita; Arun Kumar, Pramukh; Arun Kumar, Sumukh; Dasari, Mahati; Mishra, Ajay Kumar; and Donaghy, Justin (2023) "Neurosarcoidosis presenting as normal pressure hydrocephalus in a patient with pulmonary sarcoidosis," Journal of Community Hospital Internal Medicine Perspectives: Vol. 13: Iss. 1, Article 7.
DOI: 10.55729/2000-9666.1136
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss1/7