Bilateral facial neuritis as primary symptom of sarcoidosis
A 53- year old male is presenting with symptoms of left- sided peripheral facial paresis of unknown etiology in our emergency department. MRI scan revealed bilateral contrast enhancement of facial nerve suspicious for facial nerve neuritis. Consecutive CT Thorax was performed and revealed mediastinal lymphadenopathy. Biopsy confirmed a case sarcoidosis in which facial neuritis was the primary symptom. Even though facial neuritis is a common manifestation of neural involvement in sarcoidosis it is rarely the primary symptom as in this case.