Neurosarcoidosis with chronic cough and Horner's syndrome

Pract Neurol. 2023 Dec 30:pn-2023-003816. doi: 10.1136/pn-2023-003816. Online ahead of print.ABSTRACTA 62-year-old man attended ophthalmology for a simple ptosis repair. He had a chronic cough, a Horner's syndrome with post-gustatory hyperhidrosis. He was referred to the respiratory and neurology teams. MR scan of his head and neck found evidence of multifocal disease at the skull base and carotid canal, and further tests identified additional deposits in the hilar lymph nodes, heart and sacrum. A transbronchial biopsy confirmed the diagnosis of sarcoidosis. His symptoms and imaging responded well to corticosteroids, but he still undergoes regular imaging. We discuss the features of Horner's syndrome, and the autonomic associations of a chronic cough.PMID:38160054 | DOI:10.1136/pn-2023-003816
Source: Practical Neurology - Category: Neurology Authors: Source Type: research