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Stroke, Vol 20, 400-405, Copyright © 1989 by American Heart Association

ARTICLES

Sarcoidosis presenting with stroke

MM Brown, AJ Thompson, JA Wedzicha and M Swash
Department of Neurology, London Hospital, England.

A 25-year-old black man with sarcoidosis presented with transient ischemic attacks followed by sudden, persistent right hemiparesis. He gave a history of recent, recurrent lower motor neuron facial palsy. Computed tomography demonstrated an infarct in the left internal capsule. Chest x-ray film showed bilateral hilar and mediastinal lymphadenopathy and multiple opacities in the lung fields. Serum angiotensin converting enzyme concentration was raised, and a Kveim test was positive for sarcoidosis. Despite clear pathologic reports of cerebral vasculitis in neurosarcoidosis, the occurrence of stroke is extremely rare.

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