Neurosarcoidosis Presenting as Young-Onset Chronic Headache: A Case Report

We present an interesting case of a 30-year-old nonalcoholic, nonsmoker man who presented with a chronic headache of 6 years. He had a recent swaying of the body for 6 months and mild forgetfulness for 4 months. The patient had 2 episodes of facial nerve palsy in the past – which had responded to the treatment of Bell’s palsy; however, the patient had some residual findings on presentation. While CSF findings suggested meningeal tube rculosis, the radiological evidence and biopsy confirmed the diagnosis of neurosarcoidosis. On follow-up after 6 weeks of steroid therapy, the patient displayed a marked improvement in headache, cognitive function, and a good response on imaging studies. Our case emphasizes that neurosarcoidosis sho uld be considered in the differential diagnosis of chronic headaches and recurrent facial nerve palsy despite being very rare.Case Rep Neurol 2021;13:687 –692
Source: Case Reports in Neurology - Category: Neurology Source Type: research