Conclusion
The
present unique case illustrates a rare presentation of sarcoidosis, with
symptoms related to obstruction hydrocephalus. We discuss the possible
relationship with a previous episode of multiple cerebral ischemic
events and neurosarcoidosis. The causes of hydrocephalus are most
frequently a combination of CSF obstruction and disturbed resorption
mechanisms due to basal meningeal granulomatous and inflammatory
adhesions.
Neurosarcoidosis
should be considered in the differential diagnosis in a case of
unexplained hydrocephalus, vascular white matter lesions and suspicion
of vasculitis related findings.