Mild cognitive disorder as clinical manifestation of pituitary stalk neurosarcoidosis: case report

Acta Clin Croat. 2011 Dec;50(4):581-7.

Abstract

A case is presented of a 59-year-old male patient with a 5-year history of sarcoidosis. In the last half a year, deterioration of his intellectual abilities was noticed. Psychological testing detected a mild cognitive disorder. Laboratory diagnostics found a decreased level of testosterone and magnetic resonance imaging showed pituitary stalk neurosarcoidosis without any other pathomorphological substrate of cognitive impairment. This case indicates that neurosarcoidosis should be considered as a possible cause of mild cognitive disorder and, consequently, included in the International Classification of Mental and Behavioural Disorders.

Publication types

  • Case Reports

MeSH terms

  • Central Nervous System Diseases / complications*
  • Central Nervous System Diseases / diagnosis
  • Central Nervous System Diseases / diagnostic imaging
  • Cognitive Dysfunction / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Pituitary Diseases / complications*
  • Pituitary Diseases / diagnosis
  • Pituitary Diseases / diagnostic imaging
  • Pituitary Gland*
  • Sarcoidosis / complications*
  • Sarcoidosis / diagnosis
  • Sarcoidosis / diagnostic imaging
  • Tomography, X-Ray Computed

Supplementary concepts

  • Neurosarcoidosis