Objective: To describe a patient with an acute fulminant delirium and eventual spinal fluid block secondary to sarcoid meningitis.
Design: Case report.
Setting: Hospital and Neurology Clinic.
Patient: A previously healthy, 24-year-old man.
Interventions: Antimicrobials, corticosteroids, lumbar puncture, myelography, and lymph node biopsy.
Main outcome measures: Cerebrospinal fluid, clinical status.
Results: The patient improved after treatment with corticosteroids.
Conclusion: Sarcoid meningitis may present with delirium and spinal block.