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Neurosarcoidosis: Pathophysiology, Diagnosis, and Treatment
Journal article   Open access   Peer reviewed

Neurosarcoidosis: Pathophysiology, Diagnosis, and Treatment

Michael J Bradshaw, Siddharama Pawate, Laura L Koth, Tracey A Cho and Jeffrey M Gelfand
Neurology : neuroimmunology & neuroinflammation, Vol.8(6), p.e1084
11/2021
DOI: 10.1212/NXI.0000000000001084
PMCID: PMC8495503
PMID: 34607912
url
https://doi.org/10.1212/NXI.0000000000001084View
Published (Version of record) Open Access

Abstract

Although often regarded as a protean illness with myriad clinical and imaging manifestations, neurosarcoidosis typically presents as recognizable syndromes that can be approached in a rational, systematic fashion. Understanding of neurosarcoidosis has progressed significantly in recent years, including updated diagnostic criteria and advances in treatment. The diagnosis of neurosarcoidosis is established by the clinical syndrome, imaging and histopathological findings, and exclusion of other causes. Mounting evidence supports the use of tumor necrosis factor inhibitors as an important addition to the therapeutic armamentarium, along with glucocorticoids and steroid-sparing cytotoxic immunosuppressants. In this narrative review, we summarize recent advances in the diagnosis and treatment of neurosarcoidosis.

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