Case for Diagnosis. Sarcoidosis? Presented by Dr. Samuel M. Bluefarb, Dr. M. Paul Lazar and (by invitation) Dr. R. Lewis and Dr. F. E. Dunlap, from the V.A. Research Hospital.
This 41-year-old white man, a tool and dye worker, was first admitted to the V.A. Research Hospital on May 1, 1957, because of fainting episodes associated with generalized convulsions, lasting about 20 minutes. There was no incontinence, headache, or stupor. He had two of these seizures in the previous six weeks and was admitted to the Norwegian American Hospital both times, March 13 and April 22, 1957. He was transferred directly to the V.A. Research Hospital with a diagnosis of sarcoidosis, pulmonary, and cerebral. He was discharged on May 31, 1957.The patient began having aphasia and amnesia for recent events. EEG and neurological consultation localized the lesion to the left cerebral hemisphere. A lung biopsy was interpreted as undifferentiated