Neurosarcoidosis with chronic cough and Horner's syndrome
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Authors
Callanan, E
Mcnamara, P
Ingle, G
Issue Date
2024
Type
Scientific Paper
Language
Keywords
Research Subject Categories::MEDICINE::Dermatology and venerology,clinical genetics, internal medicine::Internal medicine::Neurology
Alternative Title
Abstract
Abstract
A 62-year-old man attended ophthalmology for a simple ptosis repair. He had a chronic cough, a Horner's syndrome with post-gustatory hyperhidrosis. He was referred to the respiratory and neurology teams. MR scan of his head and neck found evidence of multifocal disease at the skull base and carotid canal, and further tests identified additional deposits in the hilar lymph nodes, heart and sacrum. A transbronchial biopsy confirmed the diagnosis of sarcoidosis. His symptoms and imaging responded well to corticosteroids, but he still undergoes regular imaging. We discuss the features of Horner's syndrome, and the autonomic associations of a chronic cough.
Keywords: AUTONOMIC; CLINICAL NEUROLOGY; NEUROANATOMY; RESPIRATORY MEDICINE.
© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.
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Conflict of interest statement
Competing interests: None declared.
Publication types
Case Reports
MeSH terms
Central Nervous System Diseases*
Chronic Cough
Horner Syndrome* / complications
Horner Syndrome* / diagnostic imaging
Humans
Male
Middle Aged
Sarcoidosis* / complications
Sarcoidosis* / diagnostic imaging
Supplementary concepts
Neurosarcoidosis
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Citation
Callanan E, Mcnamara P, Ingle G. Neurosarcoidosis with chronic cough and Horner's syndrome. Pract Neurol. 2024 Mar 19;24(2):116-120. doi: 10.1136/pn-2023-003816. PMID: 38160054.