A case of Neurosarcoidosis with Facial Diplegia and of the Suspected Cardiac Involvement

J Korean Neurol Assoc > Volume 7(1); 1989 > Article

Journal of the Korean Neurological Association 1989;7(1): 108-113.

양측성 안면신경마비를 일으키고 심장의 침범이 의심스러운 유육종증 1례

백근섭, 이광호,정연태

순천향대학 신경과, 내과.

A case of Neurosarcoidosis with Facial Diplegia and of the Suspected Cardiac Involvement

Keun-Seop Baek,M.D., Kwang-Ho Lee,M.D., Yeon-Tae Jeung,M.D.

Department of neurology , College of medicine, Soonchunhyang University Department of Internal Medicine , College of medicine, Soonchunhyang University

Abstract

Sarcoidosis is multisystem granulomatous disorder of unknown etiology presenting most freguently with bilateral hilar lymphadenopathy, pulmonary infiitration, and skin or eye lesion. Nervous system is involoved clinically in approximately 5% of cases. Cranial neuropathy is the most frequent problem, and a peripheral facial nerve palsy is the single most common abnormlality which is often bilateral. About 12 cases of sarcoidosis have been reported in Korea but there was no case of neurosarcoidosis. We report a case of neurosarcoidosis manifested by facial diplegia and with bilateral hilar enlargement verified by transbronchial lung biopsy. And her heart is suspected to be involved with sarcoidosis, too.