Neurosarcoidosis resembling multiple meningiomas: A misleading presentation of the disease and diagnostic challenge

Acta Radiol Open. 2021 Jul 30;10(7):20584601211036550. doi: 10.1177/20584601211036550. eCollection 2021 Jul.

Abstract

Sarcoidosis is characterized by the presence of noncaseating granulomatous inflammation in the affected organs. Neurosarcoidosis denotes the involvement of the nervous system and can be either isolated or coexisting with extraneural systemic inflammation. The diagnosis of isolated neurosarcoidosis may be challenging due to unspecific symptoms and similar appearances with other disease processes. This report presents an uncommon case of intracranial sarcoidosis mimicking multiple meningiomas. Familiarity with the spectrum of magnetic resonance imaging findings in neurosarcoidosis is crucial to prevent interpretive errors which may in turn lead to an inappropriate diagnosis and treatment.

Keywords: Neurosarcoidosis; dural involvement; magnetic resonance imaging; meningioma.

Publication types

  • Case Reports