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The British Journal of Radiology, Vol 70, Issue 836 859-861, Copyright © 1997 by British Institute of Radiology

ARTICLES

MRI findings of VIIth cranial nerve involvement in sarcoidosis

M Oki, S Takizawa, Y Ohnuki and Y Shinohara
Department of Neurology, Tokai University School of Medicine, Kanagawa, Japan.

Right facial nerve palsy in a 58-year-old woman was due to sarcoidosis demonstrated by Gd-DTPA enhanced MRI. Abnormal enhancement of the right VIIth cranial nerve in the distal internal acoustic canal was seen on MRI. The enhancing lesion was smaller after 1 month of prednisolone 50 mg day-1. This is the first report on facial nerve involvement in neurosarcoidosis examined by Gd-DTPA enhanced MRI. The use of Gd-DTPA enhanced MRI with thin slicing, e.g. 3 mm slice thickness and 1 mm interslice gap, is effective in detecting small extramedullary lesions.




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