J Mult Scler Res. 2024; 4(3): 95-98 | DOI: 10.4274/jmsr.galenos.2024.2024-10-3

Area Postrema Syndrome: A Rare Presentation of Neurosarcoidosis

Abdulkadir Tunc, Omer Elci, Beyzanur Bozkurt, Samet Oncel
Sakarya University Faculty of Medicine, Department of Neurology, Sakarya, Turkey

This case report describes a rare occurrence of neurosarcoidosis presenting as area postrema syndrome, marked by severe nausea and vomiting. A woman in her 30s developed persistent symptoms following a cesarean section. Diagnostic investigations, including magnetic resonance imaging and cerebrospinal fluid analysis, confirmed the diagnosis of neurosarcoidosis. Treatment with prednisolone resulted in substantial symptom relief. This case emphasizes the need to consider neurosarcoidosis in the differential diagnosis of unexplained gastrointestinal symptoms and highlights the diagnostic challenges associated with such atypical presentations.

Keywords: Neurosarcoidosis, area postrema syndrome, granulomatous inflammation, cranial neuropathies, magnetic resonance imaging

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