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Journal of Korean Neurosurgical Society > Volume 48(1); 2010 > Article
Journal of Korean Neurosurgical Society 2010;48(1): 79-81.
doi: https://doi.org/10.3340/jkns.2010.48.1.79
Hydrocephalus as a Presenting Manifestation of Neurosarcoidosis : Easy to Misdiagnose as Tuberculosis.
Chang Hyun Lee, Young Sub Jung, Sang Hyung Lee
1Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.
2Department of Neurosurgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea. nslee@snu.ac.kr
ABSTRACT
We present a case of hydrocephalus as the primary manifestation of neurosarcoidosis. Sarcoidosis is a rare disease in Korea and its incidence is much lower than that of tuberculosis. Diagnosis is made by pathologic findings and by exclusion of other granulomatous disorders. Neurosarcoidosis is observed in approximately 5% of sarcoidosis. Its common manifestations are facial palsy (50% of patients with neurosarcoidosis) and optic neuritis. Hydrocephalus is a very uncommon reported finding. Although the typical presentation of sarcoidosis such as facial palsy is not a diagnostic dilemma, more atypical presentations such as hydrocephalus with altered mentality in a tuberculosis patient can lead to a misdiagnosis.
Key Words: Sarcoidosis; Neurosarcoidosis; Tuberculosis; Hydrocephalus
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