Sarcoidosis - nervous system
There is no known cure for the sarcoidosis. Treatment is indicated if symptoms are severe or progressive. The goal of treatment is to reduce symptoms.
Corticosteroids such as prednisone are prescribed to reduce inflammation. They are often prescribed until symptom get better or go away. You may need to take the medicines for months, even years.
Other medications may include hormone replacement and medicines that suppress the immune system.
If you have numbness, weakness, vision or hearing problems, or other problems due to damage of the nerves in the head, you may need physical therapy, braces, a cane, or walker.
Psychiatric disorders or dementia may require medication for depression, safety interventions, and assistance with care.
Some cases go away on their own in 4-6 months. Other cases continue off and on for the rest of the person's life. Neurosarcoidosis can cause permanent disability and, in some cases, death.
Complications vary depending on which part of the nervous system is involved and how you respond to treatment. Slowly worsening or permanent loss of neurological function is possible. In rare cases, the brainstem may be involved. This is life threatening.
Call your health care provider if you have sarcoidosis and any neurological symptoms occur.
Go to the emergency room or call the local emergency number (such as 911) if you have a sudden loss of sensation, movement, or body function.
Weinberger SE. Sarcoidosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 95.
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