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Source: Journal of Clinical Neuroscience
Drug: Methotrexate

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Oculopalatal tremor, facial myokymia and truncal ataxia in a patient with neurosarcoidosis
We report, to our knowledge, the first patient with neurosarcoidosis with simultaneous SPT and FM. A 49-year-old African American woman, with non-caseating granulomas in a paratracheal lymph node biopsy, presented with progressive gait disturbances for the last 3years. Neurological examination revealed ataxic speech, bilateral rotatory nystagmus, myokymia of the chin and perioral muscles, palatal tremor without ear click and marked truncal ataxia. MRI demonstrated a lesion involving the facial nucleus and the right middle cerebellar peduncle. Based on exclusion of alternative etiologies, a diagnosis of neurosarcoidosis was...
Source: Journal of Clinical Neuroscience - November 29, 2014 Category: Neuroscience Source Type: research