Disseminated intraparenchymal microgranulomas in the brainstem in central nervous system sarcoidosis

We report a 70‐year‐old woman with sarcoidosis and multiple cranial nerve palsy. The patient suffered from dysarthria, dysphagia and weakness of the upper and lower extremities and died of sepsis. No abnormalities were noted in brain MRI. At autopsy, numerous epithelioid granulomas with Langhans gia...

Full description

Saved in:
Bibliographic Details
Published in:Neuropathology 2005-12, Vol.25 (4), p.361-364
Main Authors: Nishie, Makoto, Mori, Fumiaki, Suzuki, Chieko, Ogawa, Masaya, Kurahashi, Kozo, Kaimori, Mitsuomi, Wakabayashi, Koichi
Format: Article
Language:English
Subjects:
Aged
Brain Stem - pathology
brainstem encephalitis
central nervous system
Cranial Nerve Diseases - etiology
Cranial Nerve Diseases - pathology
Enterobacter aerogenes
Enterobacteriaceae Infections - etiology
Fatal Outcome
Female
granuloma
Granuloma - etiology
Granuloma - pathology
Humans
Lung - pathology
Lymph Nodes - pathology
Magnetic Resonance Imaging
sarcoidosis
Sarcoidosis - complications
Sarcoidosis - pathology
Sarcoidosis - physiopathology
Shock, Septic - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report a 70‐year‐old woman with sarcoidosis and multiple cranial nerve palsy. The patient suffered from dysarthria, dysphagia and weakness of the upper and lower extremities and died of sepsis. No abnormalities were noted in brain MRI. At autopsy, numerous epithelioid granulomas with Langhans giant cells were present in the bilateral lungs, including the hilar lymph nodes. The brain had a normal external appearance. Histologically, there were brainstem parenchymal lesions consisting of many microgranulomas, lymphocytic infiltration, activated microglias and astrocytosis. Perivascular lympocytic cuffing was also seen. Neither granulomas nor lymphocytic infiltration were seen in the leptomeninges. The present case was considered to be a peculiar type of neurosarcoidosis, that is, “sarcoid brainstem encephalitis”.
ISSN:0919-6544
1440-1789
DOI:10.1111/j.1440-1789.2005.00623.x