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. 1989 Jul;65(765):481–484. doi: 10.1136/pgmj.65.765.481

Progression of hydrocephalus during corticosteroid therapy for neurosarcoidosis.

K T Foley 1, J D Howell 1, L Junck 1
PMCID: PMC2429444  PMID: 2602241

Abstract

We describe a patient with sarcoid meningitis and hydrocephalus who improved rapidly after initiation of oral prednisone therapy, but who later decompensated acutely and required an emergency ventriculoperitoneal shunt. Hydrocephalus associated with neurosarcoidosis may progress despite steroid treatment, even when symptoms have improved. If hydrocephalus associated with neurosarcoidosis is treated with corticosteroids and without a shunt procedure we suggest that the corticosteroids should be continued at high doses for a prolonged period.

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Selected References

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