Department

Neurology; Neuroscience

Document Type

Article

Abstract

We describe the case of a 59-year-old woman who presented with progressive bilateral vestibular hypofunction and who was found to have bilateral granulomatous mass lesions of the mesial temporal lobe. Initially, her condition stabilized neurologically with corticosteroids, but a diagnosis of neurosarcoidosis was delayed because of the unusual presentation and persistently normal chest imaging results and serum angiotensin-converting enzyme (ACE) levels. Approximately 1 year after her initial presentation, the patient died of complications of a myocardial infarction and pulmonary embolism. Sarcoidosis should be considered in the differential diagnosis of idiopathic bilateral vestibular hypofunction even if the chest imaging and serum ACE levels are normal, particularly when there is evidence of a multisystem process.

Medical Subject Headings

neurology

Publication Date

2011

Publication Title

Ear, Nose and Throat Journal

ISSN

0145-5613

Volume

90

Issue

1

First Page

2

Last Page

15

PubMed ID

21229491

Digital Object Identifier (DOI)

10.1177/014556131109000111

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