This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Bacterial Infections  • Meningitis  • Neurology, Other  • Psychiatry  • Delirium  • Alert me on articles by topic

James M. Noble, MD; Christopher Todd Anderson, MD; Mill Etienne, MD; Olajide Williams, MD, MA; David J. Adams, MD

Arch Neurol. 2007;64(1):129-131.

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.

Author Affiliations: Departments of Neurology, Columbia University Medical Center (Drs Noble, Anderson, Etienne, and Adams) and Harlem Hospital Center (Dr Williams), New York, NY.