Sarcoid meningitis with fulminant delirium and markedly abnormal cerebrospinal fluid.
OBJECTIVE: To describe a patient with an acute fulminant delirium and eventual spinal fluid block secondary to sarcoid meningitis. DESIGN: Case report. SETTING: Hospital and Neurology Clinic. PATIENT: A previously healthy, 24-year-old man. INTERVENTIONS: Antimicrobials, corticosteroids, lumbar puncture, myelography, and lymph node biopsy. MAIN OUTCOME MEASURES: Cerebrospinal fluid, clinical status. RESULTS: The patient improved after treatment with corticosteroids. CONCLUSION: Sarcoid meningitis may present with delirium and spinal block.