Neurosarcoidosis presenting as transient ischemic attacks: A Case Report

O. Fikri *, S. Moatassime, A. Mourhri, M. Ijim and L. Amro

Department of Pulmonology, Arrazi Hospital, Mohammed VI University Centre, Faculty of Medicine and Pharmacy, Morpho Science Research Laboratory, Marrakech, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 23(03), 3044–3048
Article DOI: 10.30574/wjarr.2024.23.3.2933
 
Publication history: 
Received on 14 August 2024; revised on 24 September 2024; accepted on 27 September 2024
 
Abstract: 
Sarcoidosis is a multi-organ granulomatous disease of unknown etiology characterized by the presence of non-caseating granulomas. It has the potential to affect multiple organs including the nervous system. Neurosarcoidosis is present in around 5% of sarcoidosis patients. The clinical manifestations of neurosarcoidosis are heterogeneous, as granulomas can affect the brain, spinal cord and peripheral nervous system, separately or in different combinations. We report a case of neurosarcoidosis with pulmonary involvement in a young female patient presented with multiple episodes of transient ischemic attacks (TIAs). She was treated with boluses of cyclophosphamide followed by azathioprine which led to marked clinical and radiological improvement.
 
Keywords: 
Neurosarcoidosis; Transient ischemic attacks; Pulmonary sarcoidosis; Cyclophosphamide; Azathioprine
 
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