RICHARD Y. FEIBELMAN, M.D.; ELOISE M. HARMAN, M.D.
To the editor: The incidence of neurologic involvement in sarcoidosis is reported as 5% to 7% (1, 2). Seizures occur in 5% to 18% of these patients and are associated with a combined morbidity and mortality of 75% (3). The response to steroid and anticonvulsant therapy is variable but generally poor, with most patients having chronic, poorly controlled seizures or progressing to death. We report the case of a patient with stage I pulmonary sarcoidosis complicated by sarcoid meningoencephalitis with seizures. The patient's course was progressive despite steroid treatments in high doses, and he began to show improvement only after
FEIBELMAN RY, HARMAN EM. Sarcoid Meningoencephalitis Treated with High-Dosage Steroids and Radiation. Ann Intern Med. ;102:136. doi: 10.7326/0003-4819-102-1-136_1
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Published: Ann Intern Med. 1985;102(1):136.
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