Sarcoidosis presenting as Wallenberg syndrome and panuveitis

Margarita Oks, Albert Li, Mina Makaryus, Howard D. Pomeranz, Mala Sachdeva, James M. Pullman, Dan Schwartz, Harry Steinberg

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Sarcoidosis is a multi-system disease with neurological involvement being one of the more rare manifestations. We report a case of a patient who presented with the lateral medullary syndrome and panuveitis as her initial manifestation of sarcoidosis. The patient's course was further complicated by renal involvement. Lacrimal gland and renal biopsies showed noncaseating granulomas without evidence of infection, establishing the diagnosis. Intracranial vertebral artery involvement was confirmed by brain imaging. Bilateral hilar lymphadenopathy with upper lobe predominant nodules on chest imaging was consistent with asymptomatic pulmonary involvement. Systemic steroid therapy is indicated for treatment of ocular sarcoidosis, with standard stroke management indicated for the treatment of lateral medullary syndrome.

Original languageEnglish (US)
Pages (from-to)16-18
Number of pages3
JournalRespiratory Medicine Case Reports
Volume24
DOIs
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Oks, M., Li, A., Makaryus, M., Pomeranz, H. D., Sachdeva, M., Pullman, J. M., Schwartz, D., & Steinberg, H. (2018). Sarcoidosis presenting as Wallenberg syndrome and panuveitis. Respiratory Medicine Case Reports, 24, 16-18. https://doi.org/10.1016/j.rmcr.2018.03.002