[A case of CNS sarcoidosis -case report of XXXX due to mechanical obstruction secondary to sarcoid granulomata at the outlet of the fourth ventricle (author's transl)].

@entity1 @entity3329 @entity390 @entity66 @entity2414 @entity428 @entity1276 @entity134 @entity400 @entity346 @entity76 @entity1296 @entity1662 @entity10 @entity3917 @entity221 @entity10070
A 28-year old male was admitted to Musashino Red Cross Hospital on June 21, 1975, because of symptoms of @entity428 and @entity76 . Thirteen months prior to admission he had a mild @entity221 , @entity400 of right arm, @entity10 , @entity390 and unsteady gait, but made a gradual recovery in about 40 days. A month prior to admission he had unsteady gate again wit @entity1296 , @entity3917 and lacrimation. Gait disturbance aggravated and he was admitted to another hospital, where he developed recent @entity2414 and cloudiness of @entity1662 . Spinal tap revealed initial pressure of 280 mm CSF. So a @entity66 possibly in the posterior fossa was suspected and the @entity1 was referred to the neurosurgical department of musashino Red Cross Hospital. On admission he was moderately disorientated and disturbed in recent memory. Wide based gait, horizontal and @entity346 were also noted. Angiography revealed rounding of the curve of the pericallosal artery but no space occupying lesions. External ventricular drainage was performed on July 25, 1975. After the operation, his orientation improved without change in @entity1296 , @entity2414 . Ventriculography showed @entity1276 with cisternography revealed a block at the basal cisterns. PPDs was negative and typical sarcoid tubercles were found in the biopsy specimen of the cervical lymphnode. Kveim test was positive. But repeated chest roentgenogram failed to show @entity3329 , or other changes consistent with @entity10070 . @entity134 therapy resulted in marked symptomatic improvement.
