Neurosarcoidosis

Abstract

A twenty five year old lady manifested with spontaneously remitting cranial polyneuritis involving the facial and lower cranial nerves bilaterally over a period of four weeks. At admission, she only had right lower motor neurone type facial palsy. Blood investigations including serum ACE were negative. CT chest showed multiple nodular lesions with hilar adenopathy. Biopsy of the calf muscle followed by supraclavicular fat pad confirmed the diagnosis of sarcoidosis.