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October 1942

BOECK'S DISEASE (SARCOID) OF THE CENTRAL NERVOUS SYSTEMREPORT OF A CASE, WITH COMPLETE CLINICAL AND PATHOLOGIC STUDY

Author Affiliations

MADISON, WIS.; MONTREAL, CANADA

From the Montreal Neurological Institute.

Arch NeurPsych. 1942;48(4):613-621. doi:10.1001/archneurpsyc.1942.02290100113009
Abstract

The following case is of interest for two reasons. First, there was present the clinical picture of adhesive arachnoiditis of obscure origin. Second, the paucity of pathologic studies on Boeck's sarcoid in the central nervous system makes the observations on this patient of especial importance.

REPORT OF CASE 

History.  —A French Canadian aged 31, the operator of a small printing press, was admitted with the chief complaint of diminished visual acuity, beginning in June 1940, recurring attacks of dizziness of increasing frequency and suboccipital headaches, radiating to the frontal region. He stated that before the onset of these symptoms he had considered himself in good health, but added that he had had a nodular lesion on his upper lip (fig. 1) since February 1940. Further questioning revealed that he had had diminution of auditory acuity and tinnitus in the left ear for three months, projectile vomiting, inability to think clearly

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