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Case Report

Hydrocephalus, a Rare Manifestation of Sarcoidosis

by
Johan M. van Rooijen
1,
Gerritje S. Mijnhout
1,*,
Tom T.A. Aalders
2 and
R.B.J. de Bondt
3
1
Department of Internal Medicine, Isala Clinics, Zwolle, the Netherlands
2
Department of Neurosurgery, Isala Clinics, Zwolle, the Netherlands
3
Department of Radiology, Isala Clinics, Zwolle, the Netherlands
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(3), e66; https://doi.org/10.4081/cp.2011.e66
Submission received: 14 July 2011 / Revised: 14 July 2011 / Accepted: 22 August 2011 / Published: 30 September 2011

Abstract

A 36-week-pregnant woman developed a symptomatic hydrocephalus. Chest imaging showed bihilar lymphadenopathy and histological examination of a mediastinal lymph node revealed non-caseating granulomas. After delivery, her neurologic complaints progressed. Placement of a ventriculoperitoneal drain (VPD) did not reduce the symptoms. However, steroids resulted in rapid disappearance of the hydrocephalus. Hydrocephalus is a very rare manifestation of sarcoidosis. The diagnosis relies on the ability of clinicians to recognize this disorder. This case shows how a difference in opinion of the several specialists involved can lead to a delay in diagnosis and treatment.
Keywords: sarcoidosis; hydrocephalus; neurosarcoidosis. sarcoidosis; hydrocephalus; neurosarcoidosis.

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MDPI and ACS Style

van Rooijen, J.M.; Mijnhout, G.S.; Aalders, T.T.A.; de Bondt, R.B.J. Hydrocephalus, a Rare Manifestation of Sarcoidosis. Clin. Pract. 2011, 1, e66. https://doi.org/10.4081/cp.2011.e66

AMA Style

van Rooijen JM, Mijnhout GS, Aalders TTA, de Bondt RBJ. Hydrocephalus, a Rare Manifestation of Sarcoidosis. Clinics and Practice. 2011; 1(3):e66. https://doi.org/10.4081/cp.2011.e66

Chicago/Turabian Style

van Rooijen, Johan M., Gerritje S. Mijnhout, Tom T.A. Aalders, and R.B.J. de Bondt. 2011. "Hydrocephalus, a Rare Manifestation of Sarcoidosis" Clinics and Practice 1, no. 3: e66. https://doi.org/10.4081/cp.2011.e66

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