Abstract
Introduction Sarcoidosis, a multi-system granulomatous disease of uncertain etiology has weathered the probe of modern medicine and remains to be an enigmatic entity. It most commonly affects nonsmoking black women of ages 20-40 years. Neurosarcoidosis occurs in only 5-15% of patients with sarcoidosis. It continues to pose a formidable diagnostic challenge especially in patients without a prior diagnosis of sarcoidosis. An extensive differential diagnosis list can easily delay the treatment of this potentially devastating condition. Due to the rarity of the condition and lack of precise diagnostic and therapeutic guidelines, most clinicians are not confident in its management. We present a case of neurosarcoidosis with its complicated presentation and attendant diagnostic chaos.
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