Neurosarcoidosis

Rare: Occurs in only 5% of sarcoidosis
  • Usually presents in pt with known sarcoid
 Usually other neuro manifestations also:
  • Optic neuropathy / other cranial nerve deficits
  • Encephalopathy
  • Aseptic meningitis
  • Motor weakness
  • Peripheral neuropathy
Consider as cause of isolated CN7 Palsy if:
  • Recurrent palsies
  • No improvement at all in facial weakness after 3 mos.
Send to Neuro for Dx
  • Can order CXR for hilar adenopathy (~50% sensitivity)