ABSTRACT

A 38-year-old female patient admitted to our clinics with headache and itching in whole body. In cranial magnetic resonance imaging performed for the investigation of headache, hypothalamic mass lesion and leptomeningeal sarcoid foci were detected. The diagnosis of neurosarcoidosis was made on the basis of clinical and laboratory findings and radiological imaging. Cases with sarcoid foci in the form of hypothalamic mass lesion are very rare in the medical literature. We, thus, aimed to present our very rare neurosarcoidosis case with pituitary-hypothalamic involvement, which we detected incidentally during the investigation of vascular headache and to review the diagnosis and treatment of sarcoidosis.

Keywords: Headache, pituitary gland, hypothalamus, neurosarcoidosis