ABSTRACT
INTRODUCTION: Sarcoidosis is a multisystemic disease of unknown etiology, characterized by non caseating granulomas in different organs. The respiratory system is the most frequently involved organ system. Up to 90% of patients with sarcoidosis have pulmonary involvement. The neurological involvement is rare and only occurs in the 5 7% of the patients. CASE REPORT: We present the case of a 41 years old woman who had severe headache and a sixth nerve palsy. Diagnosis of sarcoidosis was made in association with idiopathic intracranial hypertension (IIH). CONCLUSIONS: Sarcoidosis can involve any portion of the nervous system. An etiologic association between sarcoidosis and IIH could be identified in this case. Treatment with corticosteroids, repeated lumbar punctures and diuretics were prescribed and induced a significant clinical improvement.
Subject(s)
Nervous System Diseases/physiopathology , Pseudotumor Cerebri/complications , Sarcoidosis/etiology , Adrenal Cortex Hormones/therapeutic use , Adult , Comorbidity , Diagnosis, Differential , Diuretics/therapeutic use , Female , Humans , Nervous System Diseases/drug therapy , Pseudotumor Cerebri/drug therapy , Pseudotumor Cerebri/physiopathology , Sarcoidosis/drug therapy , Sarcoidosis/physiopathologyABSTRACT
Se realizó un estudio prospectivo de 748 pacientes ingresados en la Unidad de Cuidados Intensivos (UCI) del Hospital General Docente Enrique Cabrera, de ciudad de La Habana, Cuba, desde el 1 de junio de 1997 al 31 de mayo de 1999.A cada paciente se le realizó el cálculo diario del APACHEII y se determinó si cumplían o no alguno de los criterios de Chang et al. Se constató una relación directa entre el APACHE-II máximo elevado y la mortalidad y se validaron los criterios de Chang como predictores exactos de la misma (AU)
