Alexandra Lovett
Neurological Department, Massachusetts General Hospital, 15 Parkman Street, Wang Ambulatory Care Center, Boston, MA 02114,
Tanzania
Case Report
Role of Whole Body PET/CT in Establishing the Diagnosis of
Neurosarcoidosis: Case Report
Author(s): Alexandra Lovett, Tracey Cho, Eugene Mark and Ivana VodopivecAlexandra Lovett, Tracey Cho, Eugene Mark and Ivana Vodopivec
Sarcoidosis is a multisystemic granulomatous disease of unknown etiology. Neurological symptoms occur in 5-15% of patients with sarcoidosis and are related to a whole spectrum of possible pathologies, including pachymeningitis, leptomeningitis, parenchymal involvement with mass lesions and/or white matter disease, myelitis, cranial neuropathies, peripheral neuropathy, and myopathy. Diagnosis can be challenging in patients without apparent intrathoracic involvement. We present a case of a patient with chronic leptomeningitis and resulting nonobstructive hydrocephalus in whom the presence of granulomatous inflammation was proven by the biopsy of fluorine-18-fluorodeoxyglucose (18F-FDG)-avid mediastinal lymph nodes detected on positron emission tomography/computed tomography (PET/CT). Prior computed tomography (CT) of the chest showed that they were normal in.. View More»