Neurosarcoidosis: MRI features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Neurosarcoidosis: MRI features. Hydrocephalus, Non-specific white matter lesions, Mass lesions (granulomas). Fully referenced neurology checklist.
Typical brain MRI features
- Hydrocephalus
- Non-specific white matter lesions
- Mass lesions (granulomas)
- Meningeal enhancement
- Perivascular radial enhancement
- Cerebral atrophy
- Cerebellar high signal changes
- Optic nerve enhancement
- Granulomatous angiitis
- Cockscrew dilated medullary veins
- Skull base lesions
Spinal MRI features: myelitis: types
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Spinal MRI features: others
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Venous sinus features
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Ischaemic lesions
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Haemorrhagic lesions
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Other lesions
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References
- Bathla G, Watal P, Gupta S, Nagpal P, Mohan S, Moritani T. Cerebrovascular manifestations of neurosarcoidosis: an underrecognized aspect of the imaging spectrum. Am J Neuroradiol 2018; 39:1194-1200.
- Joseph FG, Scolding NJ. Neurosarcoidosis: a study of 30 new cases. JNNP 2009; 80:297-304.
- Hoitsma E, Faber CG, Drent M, Sharma OP. Neurosarcoidosis: a clinical dilemma. Lancet Neurol 2004; 3:397-407.
- Zajicek JP, Scolding NJ, Foster O, et al. Central nervous system sarcoidosis-diagnosis and management. QJM 1999; 92:103-117.
- Patrick N, Sosniuk M, Kapadia RK, Alikhani K, Fifi-Mah A, Hahn C. Characterizing persistent CNS MRI enhancement in patients with treated neurosarcoidosis. Neurol Clin Pract 2026; 16:e200653.
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