Facial Nerve Enhancement on Gadolinium-DTPA in a Case with Neurosarcoidosis

In a case of neurosarcoidosis with bilateral facial nerve palsy and hydrocephalus, contrastenhanced magnetic resonance imaging (MRI) study and angiotensin converting enzyme (ACE) activities in cerebrospinal fluid (CSF) were valuable for the diagnosis and the follow up. Facial nerve lesions were demo...

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Veröffentlicht in:	Internal Medicine 1997, Vol.36(11), pp.825-828
Hauptverfasser:	SUGITA, Manabu, SANO, Motoki, UCHIGATA, Masanobu, ARUGA, Torn, MATSUOKA, Rokuro
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult angiotensin converting enzyme (ACE) Biological and medical sciences Contrast Media Facial Nerve - pathology Facial Nerve Diseases - cerebrospinal fluid Facial Nerve Diseases - complications Facial Nerve Diseases - diagnosis facial nerve palsy Facial Paralysis - diagnosis Facial Paralysis - etiology Facial Paralysis - therapy Follow-Up Studies Gadolinium DTPA Glucocorticoids - therapeutic use Humans hydrocephalus Hydrocephalus - complications Hydrocephalus - diagnosis Hydrocephalus - surgery Image Enhancement - methods magnetic resonance imaging (MRI) Magnetic Resonance Imaging - methods Male Medical sciences Peptidyl-Dipeptidase A - cerebrospinal fluid Prednisolone - therapeutic use Sarcoidosis - cerebrospinal fluid Sarcoidosis - complications Sarcoidosis - diagnosis Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Ventriculoperitoneal Shunt - methods
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Zusammenfassung:	In a case of neurosarcoidosis with bilateral facial nerve palsy and hydrocephalus, contrastenhanced magnetic resonance imaging (MRI) study and angiotensin converting enzyme (ACE) activities in cerebrospinal fluid (CSF) were valuable for the diagnosis and the follow up. Facial nerve lesions were demonstrated on gadolinium-DTPA enhanced MRI. The disappearance of enhancement was concomitant with the amelioration of facial nerve palsy after corticosteroid therapy. (Internal Medicine 36: 825-828, 1997)
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.36.825