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Rapid Communication| Volume 6, ISSUE 5, P373-375, July 1997

Recurrent intracerebral hemorrhage from sarcoid angiitis

  • Richard B. Libman
    Correspondence
    Address reprint requests to Richard B. Libman, MD, Department of Neurology, Long Island Jewish Medical Center, The Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, NY 11040.
    Affiliations
    Department of Neurology and Pathology (Neuropathology), Long Island Jewish Medical Center, The Long Island Campus for The Albert Einstein College of Medicine, New Hyde Park, NY., USA
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  • Sophia Sharfstein
    Affiliations
    Department of Neurology and Pathology (Neuropathology), Long Island Jewish Medical Center, The Long Island Campus for The Albert Einstein College of Medicine, New Hyde Park, NY., USA
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  • William Harrington
    Affiliations
    Department of Neurology and Pathology (Neuropathology), Long Island Jewish Medical Center, The Long Island Campus for The Albert Einstein College of Medicine, New Hyde Park, NY., USA
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  • Paul Lerner
    Affiliations
    Department of Neurology and Pathology (Neuropathology), Long Island Jewish Medical Center, The Long Island Campus for The Albert Einstein College of Medicine, New Hyde Park, NY., USA
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      This paper is only available as a PDF. To read, Please Download here.
      Background. Sarcoid affecting the central nervous system may cause granulomatous angiitis. Nevertheless, neurosarcoid manifesting as intracerebral hemorrhage has been infrequently reported. Case Description. A 48-year-old woman with systemic sarcoid developed recurrent intracerebral hemorrhages culminating in death despite treatment with corticosteroids. Pathological examination of the brain revealed inflammatory changes of blood vessels including multinucleated giant cells. Conclusion. Sarcoid cerebral angiitis may result in intracerebral hemorrhage. This emphasizes one potentially devasting neurological outcome of this disorder.

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