Stroke presenting as a rare complication of neurosarcoidosis in a young adult male: A case report

Abstract

A 29-year-old Filipino-Chinese man with pathologically diagnosed neurosarcoidosis experienced right-sided weakness and slurring of speech. Neuroimaging showed a subacute infarction at the left paramedian pons. Pharmacotherapy included steroids, immunosuppressants, and anticoagulants. Three-month follow-up showed no progression of focal neurologic deficits. Stroke is rare in neurosarcoidosis and typically relates to granulomatous inflammation with a predilection for the perforator arteries. Neurosarcoidosis generally responds well to corticosteroids; however, combination therapy with additional immunosuppression is recommended to reduce the risk of relapse on steroid weaning. This report aims to highlight the occurrence of stroke as a rare complication of an equally rare disease entity in neurosarcoidosis.