Sarcoidosis presents only infrequently with stroke or focal neurologic
al deficit and recurrent focal neurological deficit is rarer still. Th
is case report describes a patient presenting with episodic nonfluent
dysphasia of abrupt onset occurring during a period of 18 months witho
ut evidence of seizure activity or macroscopic granulomatous collectio
n. The case illustrates that the presentation of neurosarcoidosis may
mimic classic reversible ischaemic neurological deficit.