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September 10, 2025Internal MedicineOpen Access

Recurrent Hemorrhagic Stroke in a Patient with Neurosarcoidosis: A Case Report

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Authors

TSTatsuya SaitoHOHideaki OndaASAtsuhiko Shindo

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Overview

Case report details recurrent hemorrhagic strokes in a patient with neurosarcoidosis, highlighting ACE levels and pathology.

Key Points

  • The patient experienced recurrent hemorrhagic strokes, including subarachnoid and intracerebral hemorrhages.
  • Elevated cerebrospinal fluid angiotensin-converting enzyme levels indicated neurosarcoidosis involvement.
  • Pathological examination revealed granuloma formation and giant cell infiltration in brain biopsy samples.
  • Treatment with intravascular methylprednisolone prevented further cerebrovascular events in this case.

Cite This Study

Saito et al. (2025) studied this question.

synapsesocial.com/papers/68c1cc4054b1d3bfb60f4b77https://doi.org/10.2169/internalmedicine.5679-25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Abstract 453: Neurosarcoidosis Presenting with Cerebellar Hemorrhage and Spinal Cord Involvement: A Case Report2025
  2. 2Multiple Intracranial Hemorrhages with Venous Stagnation on Cerebral Angiogram in Neurosarcoidosis2026
  3. 3Central nervous system vasculitis secondary to sarcoidosis presenting with hemorrhagic stroke2024
  4. 4Neurosarcoidosis presenting as transient ischemic attacks: A Case Report2024
  5. 5Neurosarcoidosis in a 67-Year-Old Male Without Pulmonary Involvement: A Case Report2024