Neuroimaging Findings in Intracranial Sarcoid Phlebitis: A Case Report

J Stroke Cerebrovasc Dis. 2019 Feb;28(2):369-370. doi: 10.1016/j.jstrokecerebrovasdis.2018.10.003. Epub 2018 Nov 2.


Introduction: Venous phlebitis in Neurosarcoidosis (NS) is rare but is often associated with intracranial hemorrhage (ICH). Imaging findings in such cases have been recently described on susceptibility weighted imaging (SWI).

Case presentation and outcome: We report a patient who presented with ICH. Magnetic resonance imaging provided evidence for parenchymal and leptomeningeal involvement while SWI and vessel wall imaging (VWI) helped confirmed NS associated intracranial phlebitis. The patient was subsequently diagnosed with systemic sarcoidosis.

Discussion: The emerging role of VWI and SWI in the diagnosis of this rare entity is discussed.

Keywords: Neurosarcoidosis–vessel-wall imaging–MRI–phlebitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Central Nervous System Diseases / complications
  • Central Nervous System Diseases / diagnostic imaging*
  • Cerebral Veins / diagnostic imaging*
  • Cerebrovascular Disorders / diagnostic imaging*
  • Cerebrovascular Disorders / etiology
  • Humans
  • Intracranial Hemorrhages / diagnostic imaging
  • Intracranial Hemorrhages / etiology
  • Magnetic Resonance Imaging*
  • Male
  • Neuroimaging / methods*
  • Phlebitis / diagnostic imaging*
  • Phlebitis / etiology
  • Predictive Value of Tests
  • Sarcoidosis / complications
  • Sarcoidosis / diagnostic imaging*

Supplementary concepts

  • Neurosarcoidosis