Among patients having neurosarcoidosis, psychiatric manifestations can be seen in 20% of the patients.Sarcoidosis is extremely rare in Asia, being almost unknown in some countries like China and Southeast Asia.Neurosarcoidosis occurs in approximately 5% of patients with sarcoidosis. Neurosarcoidosis presenting as psychiatric manifestations has rarely been reported. We report a case of a young male who presented with psychiatric symptoms,was diagnosed with neurosarcoidosisand responded well to oral steroids.His symptoms were diffuseheadaches, and feelings of movement of fluid on top of headand certain other vague somatic complaints like body aches, vertigo etc. Such patients are difficult to diagnose as sarcoidosis is rare in our part of the world and symptoms are often nonspecific. A high index of suspicion should be kept to identify these cases. We emphasize the importance of recognizing sarcoidosis in patients presenting with variable neuropsychiatric manifestations.
Niazi, Farheen and Hussain, Tariq
"Neurosarcoidosis presenting as psychiatric Symptoms: a diagnostic challenge,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 12
, Article 12.
Available at: http://ecommons.aku.edu/pjns/vol12/iss2/12