Neurosarcoidosis camouflaging as partial miller: Fisher syndrome

Abstract

Neurological involvement in sarcoidosis has varied presentations. Peripheral neuropathy is one of them. Symmetrical axonal type sensory-motor polyneuropathy is the most common form; focal and multifocal neuropathy, polyradiculopathy, and vascular neuropathy are among the others. Cases of demyelinating polyneuropathy masquerading as acute inflammatory demyelinating polyradiculopathy/Guillain–Barre syndrome (GBS) and chronic inflammatory demyelinating polyneuropathy have been reported rarely. Neurosarcoidosis (NS) often masquerades as other disorders, and the occurrence of GBS-like clinical phenotype is a diagnostic challenge. We report a case of NS presenting as atypical GBS.

Keywords

• guillain–barre syndrome
• neurosarcoidosis
• noncaseating granuloma