Abstract
Polyneuritis cranialis is a syndrome which is caused by various diseases such as brain tumor, motor neuron disease, anemia, avitaminosis, viral infection and many other diseases. Hence, we must exhaustively attempt to identify the original diseases with as many examinations as possible. The patient is a 32 year-old female who complained of dysphagia, hoarseness, and a disturbance in the ability to elevate her shoulders. Upon admission polyneuritis cranialis (IX, X, XI cranial nerves) was diagnosed and many examinations were done. Chest X-ray showed bilateral hilar lymphadenopathy and sarcoidosis was determined histologically by Daniel's biopsy. The original symptons greatly improved within seven days after admission, however, right peripheral facial palsy developed a few weeks later, so steroid therapy was indicated. The origin of neurologic manifestations in sarcoidosis is briefly discussed.