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.