A Perplexing Case of Bladder Mass Biopsy-Proven Neurosarcoidosis

Division

South Atlantic

Hospital

Orange Park Medical Center

Document Type

Case Report

Publication Date

6-23-2023

Keywords

bladder mass, mimicking, neoplasm, neurosarcoidosis, nodular leptomeningeal enhancement

Disciplines

Internal Medicine | Neoplasms | Nervous System Diseases

Abstract

Sarcoidosis is a multi-organ systemic disease that presents with several clinical manifestations, and patients can develop neurologic complications. Neurosarcoidosis may be life-threatening; therefore, early recognition and treatment are key. Here, we present a case of a 55-year-old African American male who presented with a complaint of dizziness and left-sided weakness; he ultimately received a diagnosis of neurosarcoidosis after elaborate radiographic investigations and bladder mass biopsy. Neurosarcoidosis remains a diagnostic dilemma as it can clinically and radiographically mimic multiple conditions including multiple sclerosis, central nervous system lymphoma, multiple myeloma, and progressive multifocal leukoencephalopathy.

Publisher or Conference

Cureus

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