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Case Reports
. 2023 Jun 12;15(6):e40281.
doi: 10.7759/cureus.40281. eCollection 2023 Jun.

Neurosarcoidosis Mimicking Normal Pressure Hydrocephalus

Affiliations
Case Reports

Neurosarcoidosis Mimicking Normal Pressure Hydrocephalus

Aida Kafai Golahmadi et al. Cureus. .

Abstract

Two female patients, aged 46 and 51, were referred to the National Hospital for Neurology and Neurosurgery with symptoms resembling normal pressure hydrocephalus (NPH) and with ventriculomegaly on the MRI. Both had a definite diagnosis of neurosarcoidosis (NS) on biopsy, and they underwent the medical and surgical management reserved for NPH. At follow-up, their presenting symptoms had resolved and they had clinically improved. Neurosarcoidosis can mimic NPH, and it should be excluded in patients presenting with NPH.

Keywords: hydrocephalus; neurosarcoidosis; normal pressure hydrocephalus; obstructive hydrocephalus; sarcoidosis.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

Figures

Figure 1
Figure 1. Coronal MRI showing a narrow callosal angle (blue arrow) in Figure 1A and periventricular white matter changes (orange arrow) in Figures 1A and 1B
Figure 2
Figure 2. Axial MRI images showing communicating enhancing hydrocephalus (orange arrows)

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