Neurosarcoidosis with chronic cough and Horner's syndrome

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Callanan, E
Mcnamara, P
Ingle, G
Issue Date
2024
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Scientific Paper
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Research Subject Categories::MEDICINE::Dermatology and venerology,clinical genetics, internal medicine::Internal medicine::Neurology
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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. PubMed Disclaimer 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 Related information MedGen LinkOut - more resources Full Text Sources HighWire Ovid Technologies, Inc. Medical MedlinePlus Health Information
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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.
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