Stroke is uncommon in neurosarcoidosis, despite histological evidence
of vessel involvement by granulomatous process. We describe recurrent
cerebral ischemias in a young man affected by sarcoidosis. Haematologi
cal investigations revealed tile presence of anticardiolipin antibodie
s and lupus anticoagulant. Stroke in neurosarcoidosis is probably due
to several different mechanisms, one of which could be the presence of
a hypercoagulability state.