A 30-year male with cognitive decline and unsteady gait Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology
Jan 14, 2016
A 30-year male with cognitive decline and unsteady gait
Teaching NeuroImages
NeurologyResident and Fellow Section
© 2013 American Academy of Neurology
Vignette
• A 30-year old male with history of bipolar disease presented with 6 months of cognitive decline, unsteady gait, urinary retention, and bilateral upper extremity tremors
Ramanathan et al.
ImagingA
DC
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Ramanathan et al.
Diffuse Cerebral Neurosarcoidosis mimicking Gliomatosis Cerebri
• Neurosarcoidosis can mimic infection (viral, tuberculosis, or cryptococcus), toxic leukoencephalopathy & malignancies like gliomatosis cerebri or angiocentric lymphoma.
• MRI in neurosarcoidosis often reveals enhancing periventricular white matter lesions, in this case mimicking diffuse gliomatosis cerebri1,2.
• The patient responded well to high dose steroids and intravenous cyclophosphamide.
Ramanathan et al