Sarcoidosis Presented with Bilateral Trigeminal Neuropathy – A Case Report

Abstract

Sarcoidosis is a multisystemic granulomatous disease of unknown origin, characterized by the presence of noncaseating granuloma in affected organs, and most frequently presented with bilateral hilar lymphadenopathy, pulmonary infiltration, skin and eye lesion. However, neurological involvement including peripheral neuropathy is relatively rare. Although the diagnosis of neurosarcoidosis can be challenging, electrophysiologic and laboratory evaluations suggestive of sarcoidosis lead to diagnosis of sarcoidosis. We report a patient who presented bilateral trigeminal neuropathies initially without other systemic symptoms or organ involvements.