Dementia, gait disturbance, and urinary incontinence in a patient with pulmonary sarcoidosis
Autor: | Romina Ramirez, Gonzalo Labarca, Ximena Monsalve, Isabel Mira-Avendano |
---|---|
Rok vydání: | 2016 |
Předmět: |
Pulmonary and Respiratory Medicine
Pathology medicine.medical_specialty Sarcoidosis Encephalopathy Case Report Case Reports 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Normal pressure hydrocephalus medicine Dementia 030212 general & internal medicine neurosarcoidosis Lung business.industry Neurosarcoidosis medicine.disease Hydrocephalus medicine.anatomical_structure Radiology hydrocephalus business 030217 neurology & neurosurgery dementia |
Zdroj: | Respirology Case Reports |
ISSN: | 2051-3380 |
Popis: | Hydrocephalus is an uncommon presentation of neurosarcoidosis. We discuss the case of a 67‐year‐old woman with a prior diagnosis of hypothyroidism, systemic hypertension, and lung sarcoidosis who presented with a 1‐month history of progressive impairment of consciousness leading to prostration and loss of sphincter control. At admission, patient was febrile with altered speech and without focalization. Laboratory results showed leucocytosis and mild anaemia. Cerebrospinal fluid (CSF) analysis was characterized by mild elevated protein level, increased cell count, normal glucose and adenosine deaminase (ADA), negative cytology, and no bacterial isolations. Electroencephalogram showed toxic‐metabolic encephalopathy. Computed tomography (CT) of the brain revealed hydrocephalus without structural damage, and magnetic resonance imaging of the brain demonstrated non‐specific diffuse meningeal enhancement and periventricular changes supporting normal pressure hydrocephalus. Chest X‐ray showed mediastinal adenopathy and parenchymatous lesions, consistent with stage II lung sarcoidosis. A ventriculoperitoneal shunt was installed, and the patient experienced rapid improvement in her symptoms. |
Databáze: | OpenAIRE |
Externí odkaz: |