右感音難聴，左顔面神経麻痺，両側半規管麻痺を呈したサルコイドーシスの1例

抄録

Introduction: Sarcoidosis is an multisystem inflammatory disease of unknown cause characterized by the presence of non-caseating granulomas in the affected tissues, most often involving the lungs, skin, lymph nodes, and eyes. Neurosarcoidosis, which refers to involvement of the central nervous system in patients with sarcoidosis, is said to account for about 5% of all cases of systemic sarcoidosis. Herein, we report a case of sarcoidosis that presented with right hearing loss and dizziness and subsequently developed left facial nerve paralysis.

Summary: A 51-year-old woman developed right ear fullness and right hearing loss on December 1, 20XX. She experienced dizziness for the first time on December 9. She visited her previous doctor on December 13. After a hearing test, she was diagnosed as having sudden hearing loss on the right side with dizziness, and was referred to our department for further examination and treatment. Thereafter, she developed left facial nerve paralysis. We diagnosed the patient as having disorder of the right cochlear nerve (VIII), bilateral superior vestibular nerves (VIII), and left facial nerve (VII) as part of neurosarcoidosis. She continues to receive treatment with a steroid.