A Perplexing Case of Bladder Mass Biopsy-Proven Neurosarcoidosis

Sarcoidosis is a multi-organ systemic disease that presents with several clinical manifestations, and patients can develop neurologic complications. Neurosarcoidosis may be life-threatening; therefore, early recognition and treatment are key. Here, we present a case of a 55-year-old African American...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40865
Main Authors: Hanif, Zainab, Gonzalez Ramos, Keysha N, Razminia, Pouyan, Aigbe, Eboselum, Ghafourian, Pegah
Format: Article
Language:English
Subjects:
Biopsy
Bladder
Case reports
Cerebrospinal fluid
Cytomegalovirus
Edema
Enzymes
Granulomas
Hepatitis
Histology
HIV
Human immunodeficiency virus
Internal Medicine
Ischemia
Lymphatic system
Lymphoma
Magnetic resonance imaging
Medical imaging
Multiple sclerosis
Nervous system
Neurology
Pathology
Patients
Rheumatology
Sarcoidosis
Steroids
Stroke
Tomography
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Description
Summary:Sarcoidosis is a multi-organ systemic disease that presents with several clinical manifestations, and patients can develop neurologic complications. Neurosarcoidosis may be life-threatening; therefore, early recognition and treatment are key. Here, we present a case of a 55-year-old African American male who presented with a complaint of dizziness and left-sided weakness; he ultimately received a diagnosis of neurosarcoidosis after elaborate radiographic investigations and bladder mass biopsy. Neurosarcoidosis remains a diagnostic dilemma as it can clinically and radiographically mimic multiple conditions including multiple sclerosis, central nervous system lymphoma, multiple myeloma, and progressive multifocal leukoencephalopathy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40865