Central nervous system (CNS) involvement in Sarcoidosis poses a diffic
ult diagnostic problem for the clinician. Neurologic involvement may o
ccur long before the onset of symptoms. Contrast enhanced computerized
tomography does not always reveal parenchymal and meningeal involveme
nt. Recently gadolinium enhanced Magnetic Resonance Imaging has shown
increased sensitivity in detecting CNS involvement. These findings how
ever are not specific for sarcoidosis and one must consider appropriat
e clinical circumstances in arriving at the diagnosis.