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BMJ Case Reports 2016; doi:10.1136/bcr-2016-216793

Neurosarcoidosis presenting as a large dural mass lesion

  1. Madakasira Vasantha Padma2
  1. 1Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
  2. 2All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Professor Madakasira Vasantha Padma, vasanthapadma123{at}gmail.com
  • Accepted 25 October 2016
  • Published 8 November 2016

Description

A woman aged 52 years presented with episodic holocranial headaches with recurrent episodes of diminution of vision in the right eye and decreased sensation on the right side of face for the past 1 year. Clinical examination revealed optic atrophy in the right eye and sensory loss on the ophthalmic and maxillary division of the trigeminal nerve. MRI brain revealed extensive nodular enhancement on T1-weighted contrast images predominantly involving the dura around bilateral temporal lobes, right fronto-basal area and bilateral cavernous sinuses (figure 1). CT scan …

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