Leptomeningeal Neurosarcoidosis

Case:
# 1089547623
Section:
Author(s):

Donato, Angel MD. Huapaya, Janice MD. Figueroa, Ramon E. MD. FACR


Augusta University. Augusta, GA 30912 USA

Email:donatoangel@yahoo.com

Patient:
Female, 38 year(s)

CLINICAL HISTORY

38 year old female with history of syncope landing on face with nose bleed.


IMAGING FINDINGS

MRI shows subtle FLAIR signal abnormality in the subarachnoid spaces along the interhemispheric fissure, lateral sulcal spaces and sylvian fissures bilaterally.

Ventricles and basal cisterns are otherwise normal. There is normal gray matter white

matter differentiation with no acute cytotoxic or vasogenic edema by

FLAIR or diffusion-weighted images. There is no active diffusion

restriction to suggest acute infarct.


Gadolinium-enhanced images demonstrate extensive superficial linear

and nodular enhancement within the sulcal spaces on both cerebral

hemispheres and cerebellar hemispheres and to a lesser extent

interpeduncular cistern

IMAGES