Involvement of the Septum Pellucidum and Intracranial Vessel in Neurosarcoidosis

Kwang-Dong, Choi; Choi, Jae‐Hwan; Park, Kyung-Pil; Kim, Hak Jin; Jung, Dae Soo

doi:10.1001/archneur.64.1.132

Arch Neurol

2007

DOI: 10.1001/archneur.64.1.132

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Involvement of the Septum Pellucidum and Intracranial Vessel in Neurosarcoidosis

Choi Kwang-Dong¹,

Jae‐Hwan Choi²,

Kyung-Pil Park³

et al.

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Cited by 3 publications

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“…21 This may also be the case in patients with CNS vasculitis, although it has been less defined. [22][23][24][25][26][27][28] Vascular involvement is not included as a separate item in the World Association of Sarcoidosis and Other Granulomatous Disease (WASOG) organ assessment instrument, which likely contributes to underreporting of this entity among large cohorts with sarcoidosis. [29][30][31][32] As such, limited information is known about the presentation, treatment, and outcome of vasculitis in patients with sarcoidosis.…”

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Vasculitis in Patients With Sarcoidosis

et al. 2022

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Objectives: Vasculitis in patients with sarcoidosis is rare and can affect any sized blood vessel. Limited information describing this association is available.Methods: A single-institution medical records review study was performed reviewing all patients with a diagnosis code for sarcoidosis and vasculitis between January 1, 1998, and December 31, 2019. Data were abstracted regarding diagnosis, treatment, and outcomes from medical records. Patients were diagnosed with vasculitis based on biopsy and/or arterial imaging. Comparison between patients presenting with large and/or medium vessel vasculitis (L/MVV) versus patients with only small vessel vasculitis (SVV) was performed.Results: Seventeen patients were identified during the study period. Nine patients (56% female) had L/MVV, and 8 (50% female) had SVV. Sarcoidosis preceded vasculitis in 4 (44%) L/MVVand 3 (38%) SVV. The mean ± SD age at sarcoidosis diagnosis was 53.2 ± 17.8 and 51.9 ± 11.4 years, and the mean ± SD age at vasculitis diagnosis was 57.4 ± 19.6 and 59.0 ± 13.4 years in L/MVV and SVV, respectively. Number of organ systems involved by sarcoidosis was similar (median [interquartile range], 3 [1-4] L/MVV vs 2.5 [1.75-3.25] SVV). The mean length of follow-up was 11.5 ± 12.8 in L/MVV and 13.1 ± 14.3 years in SVV. Complete response to therapy for vasculitis was observed in 8 of 9 with L/MVV and 7 of 8 with SVV. Four patients with SVV were able to stop all immunosuppression as compared with only 1 patient with L/MVV at the last follow-up. Conclusions:This series observed a comparable number of patients with L/MVV and SVV. Although a variety of treatments were used, most patients achieved remission regardless of vessel size affected. Clinicians should be aware of the overlap between sarcoidosis and vasculitis.

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“…Patients with retinal vasculitis associated with sarcoidosis rarely have other manifestations of systemic vasculitis 21 . This may also be the case in patients with CNS vasculitis, although it has been less defined 22–28 …”

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Vasculitis in Patients With Sarcoidosis

et al. 2022

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Inflammatory Vasculitides of the Central Nervous System

Sloane

Anand

2020

Curr Treat Options Cardio Med

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Isolated Central Nervous System Vasculitis as a Manifestation of Neurosarcoidosis

Macêdo

Calil

Ramos

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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Involvement of the Septum Pellucidum and Intracranial Vessel in Neurosarcoidosis

Cited by 3 publications

References 3 publications

Vasculitis in Patients With Sarcoidosis

Vasculitis in Patients With Sarcoidosis

Inflammatory Vasculitides of the Central Nervous System

Isolated Central Nervous System Vasculitis as a Manifestation of Neurosarcoidosis

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