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- W2922981517 abstract "Objective: To describe clinical, radiologic manifestations and treatment outcomes in 107 patients with neurosarcoidosis. Background: Neurosarcoidosis (NS) is reported in less than 5[percnt] of patients with systemic sarcoidosis while isolated NS without systemic involvement represents 17[percnt] of NS. A definitive diagnosis requires histologic confirmation, which rarely is obtained in NS. Our current knowledge for diagnosis and treatment relies on case reports. Methods: The study setting was a large, integrated health care system serving southeastern Michigan. 107 patients seen from 1995-2015 were found to meet the criteria for definitive, probable or possible NS (Zajicek, 1999). Neurological symptoms, sociodemographic, laboratory, radiographic and treatment data were collected. Descriptive statistics and chi-square tests were conducted using SAS version 9.4. Results: Of 107 patients, 58[percnt] were male and 74[percnt] African American. Average age of presentation was 49.1 year. Brain was the most common site involved (50[percnt]), followed by cranial nerves (39[percnt]), spine (29[percnt]). Majority (81[percnt]) had multisystem sarcoidosis with lung most commonly involved (56[percnt]). For those with complete workup, blood ACE was elevated in half of patients and only a third had elevated CSF ACE (29[percnt]). Significantly higher rates of elevated blood ACE were seen in patients with multisystem involvement (p=0.005). Abnormal laboratory tests seen frequently were elevated CSF WBC (65[percnt]), elevated CSF protein (53[percnt]) and elevated serum C-reactive protein (75[percnt]). Most common clinical presentations were headache (20[percnt]), optic neuritis (13[percnt]), myelitis (13[percnt]) and Bell’s palsy (8[percnt]). Prednisone was used as initial treatment (93[percnt]) while methotrexate was the most common used long term immunosuppressant (35[percnt]). Conclusion: We present the largest described case series of NS. Clinical presentation was diverse with multi-system involvement in most cases. We found that certain laboratory tests may be useful tools for diagnosis. Further epidemiological analysis is needed to develop prediction models and better screening programs for early detection. Disclosure: Dr. Affan has nothing to disclose. Dr. Schultz has nothing to disclose. Dr. Cerghet has nothing to disclose. Dr. Elias has nothing to disclose." @default.
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- W2922981517 date "2016-04-05" @default.
- W2922981517 modified "2023-09-26" @default.
- W2922981517 title "Clinical and Radiological Presentation of Neurosarcoidosis: Single Center Cohort Study of 107 Cases (P6.114)" @default.
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