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DRAFT - Pending Review
This plan requires physician review before clinical use.

Neurosarcoidosis

VERSION: 1.1 CREATED: January 30, 2026 REVISED: January 30, 2026 STATUS: Draft - Pending Review


DIAGNOSIS: Neurosarcoidosis

ICD-10: D86.82 (Sarcoid meningitis), D86.89 (Sarcoidosis of other sites), D86.9 (Sarcoidosis, unspecified), G53 (Cranial nerve disorders in diseases classified elsewhere)

SYNONYMS: Neurosarcoidosis, neurosarcoid, CNS sarcoidosis, sarcoid neuropathy, sarcoid meningitis, sarcoid myelopathy, sarcoid cranial neuropathy, sarcoid optic neuropathy, granulomatous meningitis, sarcoid hypothalamic-pituitary dysfunction, sarcoid hydrocephalus, sarcoid mass lesion, neuro-sarcoid, sarcoidosis with nervous system involvement, central nervous system sarcoidosis

SCOPE: Diagnostic workup and management of suspected or confirmed neurosarcoidosis across all neurological presentations: cranial neuropathies, aseptic meningitis, hypothalamic-pituitary dysfunction, myelopathy, peripheral neuropathy, hydrocephalus, and mass lesions. Covers Zajicek diagnostic criteria (definite, probable, possible), acute immunotherapy, steroid-sparing agents, and long-term immunosuppression. For isolated pulmonary or systemic sarcoidosis without neurological involvement, defer to pulmonology. For other granulomatous CNS diseases (e.g., granulomatosis with polyangiitis, TB meningitis), use respective templates.


DEFINITIONS: - Definite Neurosarcoidosis (Zajicek criteria): Biopsy of nervous system tissue demonstrating non-caseating granulomas, with other causes excluded - Probable Neurosarcoidosis: CNS inflammation (elevated CSF protein/cells, MRI abnormalities, or positive brain/spine biopsy consistent with neurosarcoidosis) PLUS evidence of systemic sarcoidosis (biopsy-confirmed) - Possible Neurosarcoidosis: Clinical and MRI findings suggestive of neurosarcoidosis without tissue confirmation of systemic or nervous system sarcoidosis


PRIORITY KEY: STAT = Immediate | URGENT = Within hours | ROUTINE = Standard | EXT = Extended/atypical cases | - = Not applicable to this setting

═══════════════════════════════════════════════════════════ SECTION A: ACTION ITEMS ═══════════════════════════════════════════════════════════

1. LABORATORY WORKUP

1A. Essential/Core Labs

Test Rationale Target Finding ED HOSP OPD ICU
CBC with differential (CPT 85025) Baseline; infection screen; leukopenia in sarcoidosis; pre-immunotherapy Normal; lymphopenia common STAT STAT ROUTINE STAT
CMP (BMP + LFTs) (CPT 80053) Metabolic screen; hepatic involvement (granulomatous hepatitis); renal function; hypercalcemia screening Normal; elevated ALP/GGT suggests hepatic involvement STAT STAT ROUTINE STAT
Calcium (total and ionized) (CPT 82310+82330) Hypercalcemia from granulomatous 1,25-dihydroxyvitamin D production; present in 10-17% of sarcoidosis Normal (8.5-10.5 mg/dL) STAT STAT ROUTINE STAT
ESR (CPT 85652) Inflammatory marker; often elevated in active sarcoidosis Elevated (non-specific) URGENT ROUTINE ROUTINE URGENT
CRP (CPT 86140) Inflammatory marker; infection screen Normal to mildly elevated URGENT ROUTINE ROUTINE URGENT
Serum ACE level (CPT 82164) Elevated in ~60% of systemic sarcoidosis but only ~30-50% of neurosarcoidosis; limited sensitivity; false positives in DM, hyperthyroidism, lymphoma Elevated (>52 U/L; varies by lab) URGENT URGENT ROUTINE URGENT
TSH (CPT 84443) Hypothalamic-pituitary dysfunction screen; central hypothyroidism Normal URGENT ROUTINE ROUTINE URGENT
Free T4 (CPT 84439) Central hypothyroidism from hypothalamic-pituitary sarcoidosis Normal URGENT ROUTINE ROUTINE URGENT
Prolactin (CPT 84146) Elevated with hypothalamic/pituitary stalk involvement; usually mild elevation (<100 ng/mL) Normal (<25 ng/mL) URGENT ROUTINE ROUTINE URGENT
AM cortisol (CPT 82533) Adrenal insufficiency from HPA axis involvement; central hypoadrenalism Normal (>10 mcg/dL at 8AM) URGENT ROUTINE ROUTINE URGENT
Blood glucose (CPT 82947) Diabetes insipidus screen; pre-steroid baseline Normal STAT STAT ROUTINE STAT
HbA1c (CPT 83036) Glycemic status before high-dose steroids <5.7% - ROUTINE ROUTINE -
Urinalysis with culture (CPT 81003+87086) Infection screen; 24h urine calcium if hypercalcemia Negative STAT STAT ROUTINE STAT
Blood cultures (x2 sets) (CPT 87040) Rule out infection (particularly TB, fungal before immunosuppression) No growth STAT STAT - STAT
PT/INR, aPTT (CPT 85610+85730) Coagulation status pre-LP; pre-procedure Normal STAT STAT - STAT
Magnesium (CPT 83735) Seizure threshold; metabolic screen Normal STAT STAT ROUTINE STAT
Phosphorus (CPT 84100) Metabolic screen Normal STAT STAT ROUTINE STAT
LDH (CPT 83615) Marker of granulomatous activity; lymphoma screen Normal URGENT ROUTINE ROUTINE URGENT
Uric acid (CPT 84550) Elevated in active sarcoidosis Normal - ROUTINE ROUTINE -
Procalcitonin (CPT 84145) Distinguish bacterial infection from granulomatous inflammation Normal (<0.1 ng/mL) URGENT URGENT - URGENT
Serum protein electrophoresis (SPEP) (CPT 86334) Polyclonal hypergammaglobulinemia common in sarcoidosis; lymphoma screen Polyclonal pattern or normal - ROUTINE ROUTINE -
Quantitative immunoglobulins (IgG, IgA, IgM) (CPT 82784) Baseline before immunotherapy; hypergammaglobulinemia Normal or elevated IgG - ROUTINE ROUTINE -

1B. Extended Workup (Second-line)

Test Rationale Target Finding ED HOSP OPD ICU
1,25-dihydroxyvitamin D (calcitriol) (CPT 82652) Elevated due to granulomatous production by activated macrophages; more specific than calcium alone Elevated (supports sarcoidosis) - ROUTINE ROUTINE -
25-hydroxyvitamin D (CPT 82306) May be low (consumed by granulomatous conversion to 1,25-D); guides supplementation Normal (>30 ng/mL) - ROUTINE ROUTINE -
24-hour urine calcium (CPT 82340) Hypercalciuria (more common than hypercalcemia); nephrolithiasis risk <300 mg/24h - ROUTINE ROUTINE -
Serum lysozyme (CPT 86318) Elevated in active sarcoidosis; marker of macrophage activity Normal - ROUTINE ROUTINE -
Soluble IL-2 receptor (sIL-2R) (CPT 86235) Elevated in active sarcoidosis; may be more sensitive than ACE; correlates with disease activity Normal - ROUTINE ROUTINE -
ANA (CPT 86235) Lupus/vasculitis screen Negative or low titer URGENT ROUTINE ROUTINE URGENT
Anti-dsDNA (CPT 86225) If ANA positive; lupus cerebritis exclusion Negative - ROUTINE ROUTINE -
ANCA (c-ANCA and p-ANCA) (CPT 86235) Granulomatosis with polyangiitis exclusion (CNS vasculitis mimic) Negative - ROUTINE ROUTINE -
Anti-SSA/SSB (Ro/La) Sjogren syndrome with CNS involvement Negative - ROUTINE ROUTINE -
RPR/VDRL (CPT 86592) Neurosyphilis exclusion (granulomatous meningitis mimic) Negative - ROUTINE ROUTINE -
Lyme serology (CPT 86618) Lyme neuroborreliosis (cranial neuropathy, meningitis mimic) Negative - ROUTINE ROUTINE -
QuantiFERON-TB Gold or PPD (CPT 86480) TB exclusion before immunosuppression; TB meningitis is critical differential Negative - URGENT ROUTINE URGENT
HIV (CPT 87389) Immunocompromised screen; CNS lymphoma risk Negative - ROUTINE ROUTINE -
Hepatitis B surface antigen + core antibody (CPT 80074) Reactivation risk before immunosuppression (rituximab, methotrexate) Negative - ROUTINE ROUTINE -
Hepatitis C antibody (CPT 80074) Screen before immunosuppression Negative - ROUTINE ROUTINE -
LH, FSH Hypogonadotropic hypogonadism from pituitary involvement Normal - ROUTINE ROUTINE -
Testosterone (males) or estradiol (premenopausal females) Central hypogonadism screen Normal - ROUTINE ROUTINE -
IGF-1 (CPT 84305) Growth hormone deficiency from pituitary involvement Normal - ROUTINE ROUTINE -
Serum osmolality + urine osmolality (CPT 83930+83935) Diabetes insipidus screen (central DI from hypothalamic/posterior pituitary involvement) Serum 275-295 mOsm/kg; urine concentrated URGENT ROUTINE ROUTINE URGENT
Water deprivation test (supervised) Confirm central diabetes insipidus if polyuria/polydipsia Normal concentration ability - ROUTINE ROUTINE -
Anti-AQP4 (NMO-IgG) (CPT 86255) NMOSD exclusion if longitudinally extensive transverse myelitis Negative - ROUTINE ROUTINE -
Anti-MOG IgG MOGAD exclusion if optic neuritis or myelitis Negative - ROUTINE ROUTINE -

1C. Rare/Specialized (Refractory or Atypical)

Test Rationale Target Finding ED HOSP OPD ICU
Chitotriosidase (CPT 82657) Elevated in active sarcoidosis; macrophage activation marker; may monitor treatment response Normal - EXT EXT -
Serum amyloid A (SAA) Inflammatory marker in refractory sarcoidosis; monitor activity Normal - EXT EXT -
Bronchoalveolar lavage (BAL) with CD4/CD8 ratio CD4/CD8 ratio >3.5 supports sarcoidosis; helps differentiate from other granulomatous diseases CD4/CD8 >3.5 - EXT EXT -
Kveim test Historical; rarely available; skin biopsy 4-6 weeks after injection of sarcoid tissue extract Granuloma formation - EXT EXT -
Anti-neuronal antibody panel Paraneoplastic/autoimmune encephalitis exclusion if atypical presentation Negative - EXT EXT -
14-3-3 protein (CSF) Prion disease exclusion if rapidly progressive Negative - EXT EXT -
RT-QuIC (CSF) Prion disease exclusion Negative - EXT EXT -
CSF metagenomics (next-generation sequencing) Occult infection exclusion when standard testing negative No pathogens detected - EXT EXT -
Genetic testing (BTNL2, HLA-DRB1) Sarcoidosis susceptibility genes; research/atypical cases Informational - - EXT -

2. DIAGNOSTIC IMAGING & STUDIES

2A. Essential/First-line

Study Timing Target Finding Contraindications ED HOSP OPD ICU
CT head without contrast (CPT 70450) Immediate (ED triage) Rule out mass, hemorrhage, hydrocephalus; calcified granulomas None significant STAT STAT - STAT
MRI brain with and without gadolinium (CPT 70553) Within 24h Leptomeningeal enhancement (most common); pachymeningeal enhancement; hypothalamic/pituitary enhancement; cranial nerve enhancement (especially CN II, VII); parenchymal granulomas; periventricular white matter lesions; hydrocephalus GFR <30; gadolinium allergy; pacemaker URGENT URGENT ROUTINE URGENT
MRI spine (cervical and thoracic) with and without contrast (CPT 72156+72157) Within 24-48h if myelopathy suspected Intramedullary lesions; leptomeningeal enhancement; cord expansion; dorsal subpial enhancement ("trident sign"); longitudinally extensive lesions GFR <30; gadolinium allergy URGENT URGENT ROUTINE URGENT
CT chest (with or without contrast) (CPT 71260) Within 24-48h Bilateral hilar lymphadenopathy (Scadding stages); pulmonary infiltrates; mediastinal lymphadenopathy -- present in up to 90% of sarcoidosis Contrast allergy; renal insufficiency URGENT URGENT ROUTINE URGENT
ECG (12-lead) (CPT 93000) Immediate Conduction abnormalities (cardiac sarcoidosis); QTc prolongation; heart block None STAT STAT ROUTINE STAT
Chest X-ray (CPT 71046) Immediate Bilateral hilar lymphadenopathy; pulmonary infiltrates Pregnancy (relative) STAT STAT ROUTINE STAT

2B. Extended

Study Timing Target Finding Contraindications ED HOSP OPD ICU
FDG-PET/CT (whole body) (CPT 78816) Within 1-2 weeks FDG-avid lymph nodes, pulmonary infiltrates, or other sites for biopsy targeting; disease activity assessment; identify biopsy-accessible sites Uncontrolled diabetes; pregnancy - ROUTINE ROUTINE -
Gallium-67 scan Within 1-2 weeks Lambda sign (bilateral hilar + right paratracheal uptake); panda sign (lacrimal + parotid uptake); largely replaced by FDG-PET Pregnancy - ROUTINE ROUTINE -
Cardiac MRI (CPT 75561) Within 1-2 weeks Cardiac sarcoidosis (late gadolinium enhancement, myocardial edema); conduction disease; cardiomyopathy Pacemaker; GFR <30 - ROUTINE ROUTINE -
Echocardiogram (CPT 93306) Within 48h Cardiac sarcoidosis; wall motion abnormalities; systolic/diastolic dysfunction None significant - ROUTINE ROUTINE URGENT
CT orbits with contrast If orbital/optic nerve involvement Optic nerve/sheath enhancement; orbital mass; lacrimal gland enlargement Contrast allergy - ROUTINE ROUTINE -
EMG/NCS (electromyography/nerve conduction studies) (CPT 95907-95913) Within 1-2 weeks Small fiber neuropathy; axonal polyneuropathy; mononeuritis multiplex; polyradiculopathy Anticoagulation (relative for needle EMG) - ROUTINE ROUTINE -
Pulmonary function tests (PFTs) (CPT 94010) Within 1-2 weeks Restrictive pattern; reduced DLCO; pulmonary sarcoidosis staging Unable to cooperate - ROUTINE ROUTINE -
Ophthalmologic slit lamp examination Within 24-48h Anterior uveitis; posterior uveitis; optic disc edema; lacrimal gland enlargement; keratoconjunctivitis sicca None URGENT URGENT ROUTINE URGENT
Visual evoked potentials (VEPs) (CPT 95930) Within 1-2 weeks Optic neuropathy assessment; P100 latency prolongation None significant - ROUTINE ROUTINE -
Holter monitor/event monitor (CPT 93224) Within 1 week Cardiac arrhythmias from cardiac sarcoidosis None - ROUTINE ROUTINE -

2C. Rare/Specialized

Study Timing Target Finding Contraindications ED HOSP OPD ICU
Meningeal biopsy (open or stereotactic) When tissue diagnosis required Non-caseating granulomas with multinucleated giant cells; exclusion of infection/malignancy; definite neurosarcoidosis diagnosis Coagulopathy; inaccessible location - EXT - -
Lymph node biopsy (mediastinal or peripheral) When systemic tissue confirmation needed Non-caseating granulomas; probable neurosarcoidosis diagnosis Coagulopathy - EXT EXT -
Transbronchial lung biopsy (TBLB) If hilar lymphadenopathy present Non-caseating granulomas; high yield (60-90%) with EBUS guidance Coagulopathy; severe pulmonary hypertension - EXT EXT -
Endobronchial ultrasound (EBUS) with biopsy Preferred for mediastinal lymph node sampling Non-caseating granulomas; diagnostic yield >90% for stage I-II sarcoidosis Same as TBLB - EXT EXT -
Skin biopsy (if skin lesions present) When cutaneous sarcoidosis suspected Non-caseating granulomas; easiest biopsy site Coagulopathy - ROUTINE ROUTINE -
Minor salivary gland biopsy (lip biopsy) Alternative biopsy site when other sites not accessible Non-caseating granulomas; yield ~30-60% Coagulopathy - EXT EXT -
Conjunctival biopsy If lacrimal/conjunctival nodules present Non-caseating granulomas None significant - EXT EXT -
Brain biopsy (stereotactic) Last resort; when diagnosis uncertain and treatment-critical Non-caseating granulomas; definite neurosarcoidosis Coagulopathy; deep lesion location - EXT - -
FDG-PET brain If brain MRI equivocal Focal or diffuse hypermetabolism; meningeal uptake Uncontrolled diabetes - EXT EXT -

LUMBAR PUNCTURE

Indication: Essential for diagnosis of neurosarcoidosis; CSF abnormalities support diagnosis (lymphocytic pleocytosis, elevated protein, low glucose); CSF ACE level; rules out infectious meningitis (TB, fungal, bacterial); rules out CNS lymphoma and carcinomatous meningitis

Timing: URGENT in ED/hospital setting; ROUTINE for outpatient workup. Perform after CT head to rule out mass effect/hydrocephalus

Volume Required: 15-20 mL (sufficient for comprehensive infectious, inflammatory, and cytology studies)

Study Rationale Target Finding ED HOSP OPD ICU
Opening pressure (CPT 89050) Elevated ICP assessment; hydrocephalus from meningeal involvement 10-20 cm H2O (often elevated in neurosarcoidosis) URGENT ROUTINE ROUTINE -
Cell count with differential (tubes 1 and 4) (CPT 89051) Lymphocytic pleocytosis (50-70% of neurosarcoidosis); distinguish from infection WBC 10-100 (lymphocyte-predominant); RBC 0 STAT STAT ROUTINE STAT
Protein (CPT 84157) Elevated in 50-70% of neurosarcoidosis; usually 50-200 mg/dL Normal to elevated (often 50-200 mg/dL) STAT STAT ROUTINE STAT
Glucose with paired serum glucose (CPT 82945) Low in ~18% of neurosarcoidosis; also low in TB, fungal, bacterial meningitis Normal or low (>40 mg/dL; >60% of serum) STAT STAT ROUTINE STAT
CSF ACE level (CPT 82164) Elevated in ~50-70% of neurosarcoidosis; limited sensitivity (50%) but reasonable specificity (~90%); NOT diagnostic alone Elevated supports diagnosis (normal does not exclude) URGENT URGENT ROUTINE URGENT
Oligoclonal bands (CSF AND paired serum) (CPT 83916) Intrathecal IgG synthesis; present in ~30-40% of neurosarcoidosis; helps differentiate from MS May show CSF-specific bands URGENT ROUTINE ROUTINE -
IgG index (CPT 83787) Intrathecal antibody synthesis May be elevated URGENT ROUTINE ROUTINE -
Gram stain and bacterial culture (CPT 87205+87070) Rule out bacterial meningitis No organisms STAT STAT ROUTINE STAT
AFB smear and culture (CPT 87116) TB meningitis exclusion (CRITICAL differential for granulomatous meningitis) Negative URGENT URGENT ROUTINE URGENT
Fungal culture (CPT 87102) Fungal meningitis exclusion (cryptococcal, coccidioidomycosis) Negative URGENT URGENT ROUTINE -
Cryptococcal antigen (CPT 87327) Cryptococcal meningitis exclusion Negative URGENT URGENT - URGENT
CSF VDRL (CPT 86592) Neurosyphilis exclusion Negative - ROUTINE ROUTINE -
Cytology (CPT 88104) Carcinomatous/lymphomatous meningitis exclusion Negative for malignant cells - ROUTINE ROUTINE -
Flow cytometry (CPT 88184) CNS lymphoma exclusion Normal - ROUTINE ROUTINE -
HSV PCR (CPT 87529) Viral encephalitis exclusion Negative STAT STAT - STAT
TB PCR (GeneXpert) Rapid TB meningitis exclusion; more sensitive than AFB smear Negative URGENT URGENT ROUTINE -
CSF CD4/CD8 ratio Elevated CD4/CD8 ratio supports neurosarcoidosis (similar to BAL) Elevated (>3.0 suggestive) - ROUTINE ROUTINE -
Adenosine deaminase (ADA) (CPT 86235) Elevated in TB meningitis (>10 IU/L); helps differentiate TB from sarcoid Normal (<10 IU/L) URGENT ROUTINE ROUTINE -

Special Handling: CSF ACE level requires prompt processing; send AFB and fungal cultures in sufficient volume (minimum 2 mL each). Cytology requires rapid transport (<1 hour). Store extra CSF (frozen at -20C) for future testing.

Contraindications: Elevated ICP without imaging (get CT first); coagulopathy (INR >1.5, platelets <50K); skin infection at LP site; obstructive hydrocephalus with risk of herniation


3. TREATMENT

3A. Acute/Emergent

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Methylprednisolone IV Acute severe neurosarcoidosis (optic neuropathy, myelopathy, cranial neuropathy, acute hydrocephalus, mass lesion with edema) 1000 mg :: IV :: daily :: 1000 mg IV daily for 3-5 days; infuse over 1-2 hours Active untreated infection (especially TB); uncontrolled diabetes; active GI bleeding; psychosis from steroids Glucose q6h (target <180 mg/dL); BP; mood/sleep; I/O; GI prophylaxis; electrolytes STAT STAT - STAT
Omeprazole PO GI protection during high-dose corticosteroid therapy 40 mg :: PO :: daily :: 40 mg PO daily during steroid course and oral taper; IV if NPO PPI allergy None routine URGENT STAT ROUTINE STAT
Insulin sliding scale SC Steroid-induced hyperglycemia management Per protocol :: SC :: PRN :: Per sliding scale if glucose >180 mg/dL; adjust per glucose trends Hypoglycemia risk Glucose q6h; adjust per response URGENT STAT - STAT
Dexamethasone IV Cerebral edema from granulomatous mass lesion; acute elevated ICP 10 mg :: IV :: q6h :: 10 mg IV loading dose, then 4 mg IV q6h; taper over days-weeks as clinically improving Active untreated infection; uncontrolled diabetes Glucose; BP; neurological status; GI prophylaxis STAT STAT - STAT
Lorazepam IV Seizure secondary to cortical/meningeal sarcoidosis 4 mg :: IV :: PRN seizure :: 0.1 mg/kg IV push (max 4 mg/dose); may repeat x1 in 5 minutes Respiratory depression; acute narrow-angle glaucoma Respiratory status; sedation level; airway patency STAT STAT - STAT
Desmopressin IV Central diabetes insipidus from hypothalamic/posterior pituitary sarcoidosis 1-2 mcg :: IV :: q12h :: 1-2 mcg IV/SC q12h; or 10-20 mcg intranasal BID; titrate to urine output and serum sodium Hyponatremia; type IIb von Willebrand disease Sodium q4-6h initially; urine output; urine specific gravity; serum osmolality; weight STAT STAT ROUTINE STAT
Mannitol IV Acute elevated ICP from mass lesion or obstructive hydrocephalus pending surgical intervention 1 g/kg :: IV :: PRN ICP :: 1 g/kg IV bolus over 15-20 minutes; may repeat 0.5 g/kg q6h; maintain serum osmolality <320 mOsm/kg Anuria; severe dehydration; active intracranial hemorrhage Serum osmolality q6h; electrolytes; renal function; I/O STAT STAT - STAT
Hypertonic saline 3% IV Acute elevated ICP from obstructive hydrocephalus or mass effect 250 mL :: IV :: PRN ICP :: 250 mL 3% NaCl IV over 15-30 minutes; may repeat; target sodium 145-155 mEq/L Hypernatremia >155 mEq/L; severe CHF Sodium q2-4h; serum osmolality; central line preferred for concentrations >3% STAT STAT - STAT

Note: High-dose IV corticosteroids are the mainstay of acute neurosarcoidosis treatment. Do NOT delay steroids if neurosarcoidosis is clinically suspected -- tissue confirmation can proceed in parallel. Always exclude TB meningitis before or concurrently with initiating immunosuppression (send AFB cultures + TB PCR before starting steroids).

3B. Symptomatic Treatments

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Gabapentin PO Neuropathic pain from peripheral neuropathy or radiculopathy 300 mg :: PO :: TID :: Start 300 mg qHS; titrate by 300 mg q1-3d; target 900-1800 mg TID; max 3600 mg/day Renal impairment (adjust dose per CrCl) Sedation; dizziness; peripheral edema; renal function - ROUTINE ROUTINE -
Pregabalin PO Neuropathic pain; alternative to gabapentin 75 mg :: PO :: BID :: Start 75 mg BID; may increase q1wk; max 600 mg/day Renal impairment (adjust dose); Class V controlled substance Sedation; weight gain; peripheral edema; renal function - ROUTINE ROUTINE -
Duloxetine PO Neuropathic pain; comorbid depression 30 mg :: PO :: daily :: Start 30 mg daily x 1 week, then increase to 60 mg daily; max 120 mg/day Severe hepatic impairment; concurrent MAOIs; uncontrolled narrow-angle glaucoma BP; hepatic function; serotonin syndrome risk; suicidality monitoring - ROUTINE ROUTINE -
Carbamazepine PO Trigeminal neuralgia from CN V sarcoidosis 100 mg :: PO :: BID :: Start 100 mg BID; titrate by 200 mg/day q3-7d; target level 4-12 mcg/mL; max 1200 mg/day AV block; bone marrow suppression; HLA-B*1502 positive (SJS risk); hepatic porphyria CBC q2 weeks x 2 months, then q3 months; LFTs; sodium (SIADH); drug level; HLA-B*1502 before starting in at-risk populations - ROUTINE ROUTINE -
Levetiracetam IV Seizures secondary to cortical or meningeal neurosarcoidosis 500 mg :: IV :: BID :: Start 500 mg BID (IV or PO); increase by 500 mg/day q1-2wk; max 3000 mg/day; transition to PO when tolerated Renal impairment (adjust dose per CrCl) Behavioral changes (rage, irritability); suicidality; renal function STAT STAT ROUTINE STAT
Lacosamide IV Seizures; second-line ASM or adjunctive therapy 100 mg :: IV :: BID :: Start 100 mg BID (IV or PO); increase by 50 mg/dose q1wk; max 400 mg/day; transition to PO when tolerated Second/third degree AV block; severe hepatic impairment ECG (PR prolongation); dizziness; cardiac monitoring during IV load URGENT URGENT ROUTINE URGENT
Levothyroxine PO Central hypothyroidism from hypothalamic-pituitary sarcoidosis 25 mcg :: PO :: daily :: Start 25-50 mcg daily (lower in elderly/cardiac disease); titrate q6-8 weeks by 12.5-25 mcg; target free T4 in upper half of normal range (NOT TSH-guided for central hypothyroidism) Adrenal insufficiency (must correct cortisol FIRST); acute MI Free T4 (NOT TSH) q6-8 weeks; monitor for adrenal crisis if cortisol not replaced - ROUTINE ROUTINE -
Hydrocortisone (physiologic replacement) PO Central adrenal insufficiency from HPA axis sarcoidosis 10 mg :: PO :: BID :: 10 mg on waking + 5 mg in early afternoon; stress dosing: double or triple during illness/surgery Active infection (relative); peptic ulcer AM cortisol (before dose); ACTH stimulation test; stress dose education - ROUTINE ROUTINE ROUTINE
Testosterone cypionate (males) IM Hypogonadotropic hypogonadism from pituitary sarcoidosis 200 mg :: IM :: q2wk :: 100-200 mg IM every 2 weeks; titrate based on testosterone trough levels Prostate cancer; breast cancer; polycythemia (Hct >54%); OSA (untreated); desire for fertility Testosterone level; PSA; Hct q3 months initially; DRE annually; lipids - - ROUTINE -
Testosterone gel 1% (males) TOP Hypogonadotropic hypogonadism from pituitary sarcoidosis; alternative to IM injection 50 mg :: TOP :: daily :: 50 mg (5g gel) applied to shoulders/upper arms daily; wash hands after application; avoid skin-to-skin transfer Prostate cancer; breast cancer; polycythemia (Hct >54%); women/children skin contact Testosterone level; PSA; Hct q3 months initially; DRE annually; lipids - - ROUTINE -
Calcium + Vitamin D (bone protection) PO Bone protection during chronic corticosteroid therapy; AVOID vitamin D supplementation if hypercalcemia 500 mg :: PO :: BID :: Calcium 500-600 mg PO BID + Vitamin D 800-1000 IU daily; HOLD vitamin D if serum calcium elevated Hypercalcemia; hypercalciuria; nephrolithiasis (avoid vitamin D in active sarcoid hypercalcemia) Serum calcium; 25-OH vitamin D; 24h urine calcium; DEXA if steroids >3 months - ROUTINE ROUTINE -
Acetazolamide PO Communicating hydrocephalus; elevated ICP from meningeal sarcoidosis (adjunct to steroids) 250 mg :: PO :: BID :: Start 250 mg BID; may increase to 500 mg BID; max 2000 mg/day Sulfa allergy; severe renal/hepatic failure; hypokalemia; metabolic acidosis BMP (potassium, bicarbonate); renal function; paresthesias; kidney stones - ROUTINE ROUTINE -
Artificial tears TOP Keratoconjunctivitis sicca from lacrimal gland sarcoidosis 1-2 drops :: TOP :: q2-4h PRN :: 1-2 drops in each eye q2-4h PRN for dryness; preservative-free preferred for frequent use None significant Symptom relief; ophthalmology follow-up - ROUTINE ROUTINE -

Note: Hormonal replacement is essential when hypothalamic-pituitary involvement is documented. Always correct adrenal insufficiency BEFORE starting thyroid replacement to avoid precipitating adrenal crisis. Vitamin D supplementation should be used cautiously in sarcoidosis due to risk of exacerbating hypercalcemia through granulomatous 1,25-D overproduction.

3C. Second-line/Refractory

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Prednisone PO Transition from IV steroids; maintenance corticosteroid therapy 60 mg :: PO :: daily :: Start 1 mg/kg/day (max 60 mg) after IV pulse; taper by 10 mg every 2 weeks to 20 mg, then by 5 mg every 2-4 weeks to lowest effective dose (goal 5-10 mg daily or off); total taper over 6-12 months Active infection; uncontrolled diabetes; avascular necrosis; psychosis from steroids Glucose; BP; weight; mood; bone density (DEXA if >3 months); ophthalmology (cataracts, glaucoma); adrenal function on taper - ROUTINE ROUTINE -
Methotrexate PO Steroid-sparing immunosuppression; relapsing neurosarcoidosis; inability to taper steroids below 10 mg/day 10 mg :: PO :: weekly :: Start 7.5-10 mg PO once weekly; increase by 2.5-5 mg q2-4wk; target 15-25 mg weekly; always co-prescribe folic acid 1 mg daily (except MTX day) Pregnancy (Category X -- teratogenic); severe hepatic/renal disease; active infection; bone marrow suppression; significant pleural effusion/ascites CBC q2 weeks x 2 months, then monthly; LFTs monthly; renal function q3 months; chest X-ray annually; hepatic fibrosis screen (FibroScan or liver biopsy if cumulative dose >1.5g); pulmonary toxicity (cough, dyspnea) - ROUTINE ROUTINE -
Mycophenolate mofetil PO Steroid-sparing agent; alternative to methotrexate; relapsing neurosarcoidosis 500 mg :: PO :: BID :: Start 500 mg PO BID; increase by 500 mg every 2 weeks; target 1000-1500 mg BID (2000-3000 mg/day total) Pregnancy (Category D -- teratogenic); active infection; concurrent live vaccines CBC q2 weeks x 3 months, then monthly; LFTs; GI symptoms (diarrhea, nausea); infection surveillance; pregnancy prevention - ROUTINE ROUTINE -
Azathioprine PO Steroid-sparing agent; alternative to methotrexate/mycophenolate 50 mg :: PO :: daily :: Start 50 mg PO daily; increase by 50 mg every 2 weeks to target 2-3 mg/kg/day; onset of action 3-6 months TPMT deficiency (check before starting); concurrent allopurinol (reduce dose 75%); pregnancy (relative) TPMT genotype/activity before starting; CBC q2 weeks x 2 months, then monthly; LFTs monthly; amylase if abdominal pain (pancreatitis) - ROUTINE ROUTINE -
Hydroxychloroquine PO Mild neurosarcoidosis; cutaneous sarcoidosis with mild CNS involvement; adjunctive therapy 200 mg :: PO :: BID :: 200 mg PO BID (max 5 mg/kg/day based on actual body weight); onset 2-3 months Retinal disease; G6PD deficiency; QTc prolongation Baseline and annual ophthalmologic exam (OCT + visual fields) after 5 years (or earlier if risk factors); CBC; LFTs; ECG - ROUTINE ROUTINE -
Leflunomide PO Steroid-sparing agent; alternative to methotrexate (similar mechanism) 20 mg :: PO :: daily :: Loading dose: 100 mg PO daily x 3 days (optional); then 20 mg PO daily Pregnancy (Category X); severe hepatic impairment; immunodeficiency LFTs monthly x 6 months, then q2 months; CBC; BP; cholestyramine washout if pregnancy desired (11g TID x 11 days) - - ROUTINE -

Note: Steroid-sparing agents should be initiated early (within 1-3 months) for patients requiring prolonged corticosteroid therapy. Methotrexate is the most commonly used and best-studied steroid-sparing agent in neurosarcoidosis. Allow 2-3 months for onset of steroid-sparing effect before concluding failure. Folic acid supplementation is mandatory with methotrexate to reduce toxicity.

3D. Disease-Modifying / Biologic Therapies (Refractory)

Treatment Route Indication Dosing Pre-Treatment Requirements Contraindications Monitoring ED HOSP OPD ICU
Infliximab IV Refractory neurosarcoidosis failing methotrexate/mycophenolate; severe/progressive disease; CNS mass lesions; optic neuropathy not responding to steroids 5 mg/kg :: IV :: q6-8wk :: 3-5 mg/kg IV at weeks 0, 2, and 6 (induction), then every 4-8 weeks (maintenance); may increase to 7-10 mg/kg if inadequate response; infuse over 2 hours minimum TB testing (QuantiFERON); Hepatitis B/C screening; CBC, LFTs, CMP; chest X-ray; age-appropriate cancer screening; heart failure assessment (NYHA class); pregnancy test Active or latent TB (treat first); active serious infection; decompensated CHF (NYHA III-IV); demyelinating disease; live vaccines within 4 weeks CBC with differential q2-4 months; LFTs q3 months; ANA/anti-dsDNA annually (drug-induced lupus); infection surveillance; infusion reactions; skin cancer screening annually; heart failure symptoms - URGENT ROUTINE URGENT
Adalimumab SC Refractory neurosarcoidosis; alternative to infliximab; may be preferred for outpatient self-administration 40 mg :: SC :: q2wk :: 80 mg SC at week 0, then 40 mg SC every other week; may increase to 40 mg weekly or 80 mg q2wk if inadequate response TB testing (QuantiFERON); Hepatitis B/C screening; CBC, LFTs; chest X-ray; pregnancy test Active or latent TB (treat first); active serious infection; decompensated CHF; demyelinating disease; live vaccines within 4 weeks CBC q2-4 months; LFTs q3 months; ANA annually; infection surveillance; injection site reactions; skin cancer screening - - ROUTINE -
Rituximab IV Refractory neurosarcoidosis failing anti-TNF therapy; B-cell-mediated disease component 1000 mg :: IV :: q2wk x2 :: 375 mg/m2 IV weekly x 4 doses OR 1000 mg IV x 2 doses (day 0 and day 14); re-dose based on CD19/CD20 repopulation or clinical relapse; premedicate with methylprednisolone 100 mg, acetaminophen, diphenhydramine Hepatitis B serology; CBC, CMP; quantitative immunoglobulins; JCV antibody (PML risk); pregnancy test; vaccination update Active hepatitis B; severe active infection; live vaccines within 4 weeks; severe hypogammaglobulinemia Hepatitis B surveillance; CBC q2-4 weeks initially; immunoglobulin levels q3 months; CD19/CD20 B-cell counts q3 months; infusion reactions; PML surveillance; infection monitoring - URGENT ROUTINE URGENT
Cyclophosphamide IV Severe refractory neurosarcoidosis with progressive neurological decline despite other therapies; last resort 750 mg/m2 :: IV :: monthly x6 :: 750 mg/m2 IV monthly for 6 cycles; pre-hydrate with 1L NS; administer with MESNA for uroprotection; consider dose reduction for renal impairment Pregnancy (Category D); CBC, CMP, UA before each cycle; fertility counseling Pregnancy; active infection; bone marrow failure; bladder outlet obstruction CBC weekly x 4 weeks after each cycle (nadir day 10-14); urinalysis (hemorrhagic cystitis); BMP; LFTs; fertility preservation discussion; malignancy risk (bladder cancer) - URGENT ROUTINE URGENT

Note: Anti-TNF agents (infliximab, adalimumab) are the most effective biologic therapies for refractory neurosarcoidosis. Infliximab has the most evidence. ALWAYS exclude latent TB before starting anti-TNF therapy (granulomatous infection can be catastrophically reactivated). Treatment duration is typically 1-2 years minimum; relapse is common on discontinuation. Rituximab and cyclophosphamide are reserved for cases refractory to anti-TNF agents.


4. OTHER RECOMMENDATIONS

4A. Referrals & Consults

Recommendation ED HOSP OPD ICU
Neurology (neuroimmunology/neurosarcoidosis specialist) for diagnosis confirmation, immunotherapy guidance, and long-term management STAT STAT ROUTINE STAT
Pulmonology for pulmonary sarcoidosis staging, PFTs, and bronchoscopy/EBUS biopsy coordination - URGENT ROUTINE URGENT
Ophthalmology for comprehensive eye examination including slit lamp (uveitis screen), visual acuity, OCT, and visual fields URGENT URGENT ROUTINE URGENT
Endocrinology for hypothalamic-pituitary axis evaluation and hormonal replacement management if pituitary involvement documented - ROUTINE ROUTINE -
Rheumatology for systemic sarcoidosis co-management and steroid-sparing immunosuppression coordination - ROUTINE ROUTINE -
Neurosurgery for VP shunt placement if obstructive hydrocephalus, or for meningeal/brain biopsy if tissue diagnosis required URGENT URGENT - URGENT
Interventional pulmonology for EBUS-guided lymph node biopsy to confirm systemic sarcoidosis diagnosis - ROUTINE ROUTINE -
Cardiology for cardiac MRI interpretation and management if cardiac sarcoidosis suspected (conduction abnormalities, cardiomyopathy) - URGENT ROUTINE URGENT
Physical therapy for gait training, balance assessment, and fall prevention given myelopathy or peripheral neuropathy - ROUTINE ROUTINE ROUTINE
Occupational therapy for ADL adaptation and energy conservation given fatigue and functional impairment - ROUTINE ROUTINE ROUTINE
Speech-language pathology for swallowing evaluation given cranial nerve involvement (CN IX, X) and cognitive-linguistic rehabilitation - ROUTINE ROUTINE ROUTINE
Neuropsychology for cognitive assessment and rehabilitation planning given neurocognitive impairment - - ROUTINE -
Pain management for refractory neuropathic pain not responding to first-line agents - - ROUTINE -
Social work for insurance navigation, disability resources, and long-term care planning - ROUTINE ROUTINE -
Dermatology for skin biopsy if cutaneous lesions present (erythema nodosum, lupus pernio, papules, plaques) as accessible biopsy site - ROUTINE ROUTINE -
Infusion center coordination for IV methylprednisolone, infliximab, rituximab, or cyclophosphamide infusions - ROUTINE ROUTINE -
Fertility specialist for reproductive counseling before initiating teratogenic immunosuppressants (methotrexate, mycophenolate, cyclophosphamide) - - ROUTINE -

4B. Patient Instructions

Recommendation ED HOSP OPD ICU
Return to ED immediately for sudden vision loss, new weakness, difficulty walking, severe headache, seizures, or difficulty breathing (may indicate disease progression or complications) Y Y Y -
Neurosarcoidosis is a chronic, treatable condition -- improvement may be gradual over weeks to months with appropriate immunotherapy Y Y Y -
Do NOT stop corticosteroids abruptly as this may cause adrenal crisis and disease flare; always taper under physician supervision - Y Y -
Report signs of infection immediately (fever >100.4F, cough, dysuria, rash, wound redness) as immunosuppressive therapy increases infection risk - Y Y -
Avoid live vaccines while on immunosuppressive therapy (inform all physicians and pharmacists of immunosuppression status) - Y Y -
Monitor blood sugars if diabetic or if on corticosteroids -- steroids significantly elevate blood glucose Y Y Y -
Do not drive until cleared by neurology if visual impairment, seizures, or significant neurological deficits are present Y Y Y -
Keep a symptom diary tracking visual changes, weakness, numbness, headaches, fatigue, and pain to monitor treatment response - Y Y -
Take methotrexate on the same day each week; take folic acid daily EXCEPT on methotrexate day to reduce side effects - Y Y -
Report excessive thirst or urination (may indicate diabetes insipidus from hypothalamic involvement requiring treatment adjustment) - Y Y -
Pregnancy must be avoided during methotrexate, mycophenolate, or cyclophosphamide therapy; discuss contraception with neurology and OB/GYN - Y Y -
Attend all follow-up appointments -- neurosarcoidosis requires regular monitoring with MRI, labs, and clinical assessments - Y Y -
Wear medical alert identification (bracelet/card) indicating neurosarcoidosis, immunosuppressive medications, and adrenal insufficiency if applicable - Y Y -
Sun protection is important while on methotrexate and immunosuppressive therapy due to increased skin cancer risk - Y Y -

4C. Lifestyle & Prevention

Recommendation ED HOSP OPD ICU
Smoking cessation to improve pulmonary function and reduce infection risk during immunosuppression Y Y Y -
Alcohol avoidance or strict limitation while on methotrexate due to additive hepatotoxicity - Y Y -
Low-sodium diet to reduce fluid retention and hypertension from corticosteroid therapy - Y Y -
Calcium-rich diet (dairy, leafy greens) for bone protection during chronic steroid use; AVOID excessive vitamin D supplementation unless calcium is normal - Y Y -
Regular weight-bearing exercise as tolerated (walking, resistance training) to prevent steroid-related osteoporosis and deconditioning - Y Y -
Adequate hydration (2-3 L/day) especially if on methotrexate or if hypercalciuria present to prevent nephrolithiasis - Y Y -
Fall prevention measures at home (remove loose rugs, adequate lighting, grab bars in bathroom) given myelopathy and balance impairment - Y Y -
Stress management and adequate sleep (7-8 hours nightly) as stress may exacerbate symptoms and fatigue - Y Y -
Vaccinations should be up to date before initiating immunosuppressive therapy (especially pneumococcal, influenza, hepatitis B); avoid live vaccines on immunosuppression - Y Y -
Sun protection (SPF 50+, protective clothing) during immunosuppressive therapy due to increased skin cancer risk - Y Y -
Energy conservation techniques (pacing activities, scheduled rest periods) to manage sarcoidosis-related fatigue - Y Y -
Annual ophthalmologic examination even if asymptomatic due to risk of subclinical uveitis and steroid-related cataracts/glaucoma - - Y -

═══════════════════════════════════════════════════════════ SECTION B: REFERENCE (Expand as Needed) ═══════════════════════════════════════════════════════════

5. DIFFERENTIAL DIAGNOSIS

Alternative Diagnosis Key Distinguishing Features Tests to Differentiate
Tuberculosis meningitis Subacute meningitis; basilar meningeal enhancement; caseating granulomas; CSF low glucose, high protein, elevated ADA; risk factors (endemic areas, immunosuppression) AFB culture/smear; CSF TB PCR (GeneXpert); QuantiFERON-TB; chest CT (apical disease vs. hilar adenopathy); tissue biopsy (caseating vs. non-caseating)
CNS lymphoma (primary) Progressive encephalopathy; periventricular enhancement; homogeneous enhancing mass; immunocompromised CSF cytology/flow cytometry; brain biopsy; FDG-PET (intense uptake); HIV testing
Multiple sclerosis Relapsing-remitting course; periventricular/juxtacortical/infratentorial/spinal cord lesions (Dawson fingers); oligoclonal bands; young female predominance MRI (MS vs. sarcoid pattern); CSF oligoclonal bands; no systemic involvement; no hilar adenopathy
Neuromyelitis optica spectrum disorder (NMOSD) Optic neuritis and longitudinally extensive transverse myelitis; area postrema syndrome AQP4-IgG (positive); no hilar adenopathy; different MRI pattern
CNS vasculitis (primary or secondary) Headache; multifocal strokes; beading on angiography; CSF pleocytosis Cerebral angiography (beading); brain/leptomeningeal biopsy; ANCA; no hilar adenopathy
Granulomatosis with polyangiitis (GPA/Wegener) Sinusitis; pulmonary nodules/cavities; glomerulonephritis; pachymeningeal enhancement c-ANCA (PR3); biopsy showing necrotizing vasculitis with granulomas; renal function
Lyme neuroborreliosis Cranial neuropathy (CN VII bilateral); meningitis; radiculopathy; erythema migrans; endemic area Lyme serology (two-tier); CSF Lyme antibody index; travel history
Neurosyphilis Cranial neuropathies; meningitis; Argyll Robertson pupils; cognitive decline; positive serology RPR/VDRL; CSF VDRL; FTA-ABS; HIV co-testing
Histoplasmosis/Coccidioidomycosis (CNS fungal) Chronic meningitis; basilar enhancement; endemic area; immunocompromised Fungal cultures; Histoplasma/Coccidioides antigen; CSF antibodies; biopsy
Meningeal carcinomatosis Known malignancy; cranial neuropathies; headache; progressive; CSF cytology positive CSF cytology (serial LPs increase yield); MRI (nodular leptomeningeal enhancement); whole-body staging
IgG4-related disease Mass-forming lesions; pachymeningeal or orbital involvement; elevated serum IgG4; multi-organ fibrosis Serum IgG4 level; tissue biopsy (storiform fibrosis, IgG4+ plasma cells >40%); no non-caseating granulomas
Histiocytic disorders (Erdheim-Chester, Langerhans cell histiocytosis) Hypothalamic-pituitary involvement; orbital masses; bone lesions; skin involvement Tissue biopsy (CD68+ foamy histiocytes in ECD; CD1a+/Langerin+ in LCH); BRAF V600E mutation; PET/CT
Lymphomatoid granulomatosis Pulmonary nodules; CNS involvement; EBV-associated; angiocentric lymphoid proliferation Lung biopsy; EBV in-situ hybridization; angiocentric/angiodestructive pattern
Behcet disease Oral/genital ulcers; brainstem involvement; CSF neutrophilic pleocytosis; pathergy test Clinical criteria; pathergy test; HLA-B51; no hilar adenopathy
Chronic meningitis (idiopathic) Persistent CSF pleocytosis and meningeal enhancement without identifiable cause after exhaustive workup Comprehensive infectious, inflammatory, and neoplastic workup; brain/meningeal biopsy if refractory

6. MONITORING PARAMETERS

6A. Acute Phase Monitoring (Inpatient)

Parameter Frequency Target/Threshold Action if Abnormal ED HOSP OPD ICU
Neurologic examination (cranial nerves, motor, sensory, gait, cognition) Q4-6h (ICU); Q8-12h (floor) Stable or improving If worsening: urgent re-imaging; escalate immunotherapy; neurosurgery consult if hydrocephalus STAT STAT - STAT
Visual acuity testing Daily if optic neuropathy Stable or improving Worsening: urgent ophthalmology; escalate steroids; consider PLEX URGENT URGENT ROUTINE URGENT
Blood glucose Q6h during IV steroids <180 mg/dL Insulin sliding scale; endocrine consult if persistent >250 mg/dL STAT STAT - STAT
Blood pressure Q1h (ICU); Q4h (floor) SBP <160 mmHg; MAP >65 Antihypertensive therapy; steroid dose adjustment if severe STAT ROUTINE - STAT
Temperature Q4h; continuous in ICU 36.0-37.5C Rule out infection; blood cultures if febrile on immunosuppression STAT ROUTINE - STAT
Serum sodium Q6-12h if diabetes insipidus 135-145 mEq/L Desmopressin titration; fluid balance adjustment URGENT ROUTINE - URGENT
Urine output Q1h (ICU); Q4h (floor) 0.5-1.0 mL/kg/hr If polyuria (>3 L/day): check sodium, osmolality; diabetes insipidus workup URGENT ROUTINE - STAT
Calcium (total and ionized) Daily during steroid therapy 8.5-10.5 mg/dL (total) If hypercalcemia: IV normal saline hydration; hold vitamin D; consider calcitonin URGENT ROUTINE - URGENT
Renal function (BUN/Cr) Daily during acute treatment Stable Adjust renally-dosed medications; hydration URGENT ROUTINE - URGENT
ICP monitoring (if VP shunt or EVD) Continuous if EVD ICP <20 mmHg CSF drainage; escalate ICP management; repeat imaging - - - STAT

6B. Outpatient/Long-Term Monitoring

Parameter Frequency Target/Threshold Action if Abnormal ED HOSP OPD ICU
Neurologic examination (comprehensive) Monthly x 6 months; then q3 months x 2 years; then q6 months Stable or improving; no new deficits If relapse: repeat MRI; escalate immunotherapy; consider biopsy if diagnosis uncertain - - ROUTINE -
MRI brain with and without gadolinium 3-6 months after treatment initiation; then q6-12 months x 2-3 years; then annually Stable or decreased enhancement and lesion burden New/worsening lesions: treatment failure; escalate; re-evaluate diagnosis - - ROUTINE -
MRI spine (if myelopathy) 3-6 months; then annually x 2-3 years Stable or improved cord lesions Worsening: escalate therapy - - ROUTINE -
CT chest Annually Stable or improved hilar adenopathy Progression: pulmonology consult; adjust systemic treatment - - ROUTINE -
CBC with differential Q2 weeks x 2 months on methotrexate/azathioprine; then monthly; q2-4 months on infliximab WBC >3.0; ANC >1.5; Plt >100 Hold/reduce immunosuppression; growth factor support if needed - - ROUTINE -
LFTs (ALT, AST, ALP, bilirubin) Monthly on methotrexate; q3 months on other agents ALT/AST <3x ULN Dose reduction or switch agent; hepatology consult if persistent elevation - - ROUTINE -
Renal function (BUN/Cr) Q3 months Stable Dose adjustment of renally-cleared drugs; evaluate nephrocalcinosis if hypercalcemia - - ROUTINE -
Serum calcium Q3-6 months (more frequent if history of hypercalcemia) Normal (8.5-10.5 mg/dL) If elevated: hold vitamin D; increase hydration; consider disease activity - - ROUTINE -
Serum ACE level Q3-6 months Trending down with treatment Rising ACE: consider disease relapse; repeat imaging - - ROUTINE -
Endocrine panel (TSH, free T4, cortisol, prolactin) Q6-12 months if pituitary involvement Normal or appropriately replaced Adjust hormone replacement; endocrinology follow-up - - ROUTINE -
DEXA scan (bone density) Baseline if steroids >3 months; repeat q1-2 years T-score >-2.5 Bisphosphonate therapy; calcium/vitamin D optimization (if not hypercalcemic); endocrinology referral - - ROUTINE -
Ophthalmologic examination Q6-12 months; more frequent if uveitis history or on steroids No uveitis; no cataracts; no glaucoma Topical/systemic treatment per ophthalmology; IOP management - - ROUTINE -
Pulmonary function tests (PFTs) Annually if pulmonary involvement Stable FVC and DLCO Pulmonology adjustment; consider escalation of systemic therapy - - ROUTINE -
Quantitative immunoglobulins Q6 months on rituximab or prolonged immunosuppression IgG >400 mg/dL Immunoglobulin replacement if recurrent infections with hypogammaglobulinemia - - ROUTINE -
TB screening (QuantiFERON) Annually on anti-TNF therapy Negative If positive: infectious disease consult; TB prophylaxis; hold anti-TNF - - ROUTINE -
Skin cancer screening Annually on immunosuppression No suspicious lesions Dermatology referral - - ROUTINE -

7. DISPOSITION CRITERIA

Disposition Criteria
Discharge home Stable or improving neurological exam; able to perform basic ADLs; seizure-free (if applicable); diabetes insipidus well-controlled on desmopressin; oral medications tolerated; steroid taper plan established; follow-up with neurology within 1-2 weeks; outpatient labs and imaging scheduled; family/caregiver education completed
Admit to floor (neurology) New-onset or worsening neurosarcoidosis requiring IV methylprednisolone; diagnostic workup requiring expedited imaging and LP; new cranial neuropathy with visual threat; new seizures requiring medication optimization; diabetes insipidus requiring titration; need for tissue biopsy coordination
Admit to ICU Acute hydrocephalus requiring EVD/VP shunt; severe elevated ICP; status epilepticus; severe myelopathy with respiratory compromise; rapid neurological decline; autonomic instability; severe hyponatremia or hypercalcemia requiring close monitoring
Transfer to higher level of care Neurosurgery not available (hydrocephalus, biopsy); neuroimmunology specialist not available; interventional pulmonology for EBUS biopsy; infusion center for biologic therapy not available
Inpatient rehabilitation Significant functional deficits from myelopathy or multifocal disease; medically stable; expected to benefit from intensive PT/OT/ST; unable to safely return home
Outpatient follow-up All discharged patients: neurology follow-up within 1-2 weeks; ophthalmology within 2-4 weeks; pulmonology if pulmonary involvement; endocrinology if pituitary involvement; labs per monitoring schedule; MRI per protocol
Readmission criteria New or worsening neurological symptoms (vision loss, weakness, seizures); infection on immunosuppression; suspected relapse; uncontrolled diabetes insipidus; severe steroid side effects

8. EVIDENCE & REFERENCES

Recommendation Evidence Level Source
Zajicek diagnostic criteria for neurosarcoidosis (definite, probable, possible) Expert Consensus, Class III Zajicek JP et al. J Neurol Neurosurg Psychiatry 1999;67:517-521
Updated consensus diagnostic criteria for neurosarcoidosis (Stern et al.) Expert Consensus Stern BJ et al. JAMA Neurol 2018;75:1546-1553
High-dose IV methylprednisolone as first-line acute treatment Class III, Expert Consensus Fritz D et al. J Neuroimmunol 2016;299:146-151
Prednisone oral taper following IV pulse therapy Expert Consensus Tavee JO, Stern BJ. Neurol Clin 2015;33:553-577
Methotrexate as first-line steroid-sparing agent Class III, Retrospective Lower EE, Broderick JP. Neurology 2004;62:2198-2202
Methotrexate efficacy in neurosarcoidosis Class III, Retrospective Scott TF et al. Neurology 2007;68:1405-1407
Mycophenolate mofetil as steroid-sparing agent Class IV, Case Series Moravan M, Segal BM. Arch Neurol 2009;66:1144-1145
Infliximab for refractory neurosarcoidosis Class III, Retrospective Gelfand JM et al. Neurology 2017;89:2092-2100
Infliximab safety and efficacy in sarcoidosis Class III Judson MA et al. Sarcoidosis Vasc Diffuse Lung Dis 2008;25:49-57
Adalimumab for refractory sarcoidosis Class IV, Case Series Erckens RJ et al. Ophthalmology 2012;119:2020-2028
Rituximab for refractory neurosarcoidosis Class IV, Case Reports Bomprezzi R et al. J Neurol 2010;257:1108-1110
Cranial neuropathy (CN VII most common) in neurosarcoidosis Class II, Retrospective Stern BJ et al. Arch Neurol 1985;42:909-917
Optic neuropathy in neurosarcoidosis Class III Koczman JJ et al. Ophthalmology 2008;115:890-896
CSF ACE levels -- sensitivity and specificity in neurosarcoidosis Class II Dale JC, O'Brien JF. Mayo Clin Proc 1999;74:535-540
Serum ACE -- limited sensitivity in neurosarcoidosis (~30-50%) Class II Miyoshi S et al. Clin Biochem 2010;43:1004-1008
MRI patterns in neurosarcoidosis (leptomeningeal enhancement most common) Class III, Retrospective Shah R et al. AJR Am J Roentgenol 2009;193:1317-1332
Hypothalamic-pituitary involvement in neurosarcoidosis Class III Anthony J et al. QJM 2016;109:643-648
Diabetes insipidus as presenting feature of neurosarcoidosis Class IV, Case Series Stuart CA et al. Am J Med 1978;65:585-594
Scadding staging for pulmonary sarcoidosis Class II Scadding JG. Br Med J 1961;2:1165-1172
FDG-PET for biopsy site identification in sarcoidosis Class III Teirstein AS et al. Sarcoidosis Vasc Diffuse Lung Dis 2007;24:85-92
Small fiber neuropathy in sarcoidosis Class III Hoitsma E et al. Lancet Neurol 2004;3:349-353
Neurosarcoidosis clinical features and outcomes Class II, Retrospective Joubert B et al. Medicine (Baltimore) 2017;96:e8340
Hypercalcemia mechanism in sarcoidosis (1,25-dihydroxyvitamin D) Class II Bell NH et al. J Clin Invest 1979;64:218-225
Cyclophosphamide for refractory neurosarcoidosis Class IV, Case Series Doty JD et al. Chest 2003;124:2023-2027
Long-term outcomes of neurosarcoidosis treatment Class III Bitoun S et al. Medicine (Baltimore) 2016;95:e3241

CLINICAL DECISION SUPPORT NOTES

Zajicek Diagnostic Criteria for Neurosarcoidosis

Definite Neurosarcoidosis: - [ ] Nervous system biopsy demonstrating non-caseating granulomas - [ ] Other causes of granulomatous inflammation excluded (TB, fungal, foreign body)

Probable Neurosarcoidosis: - [ ] Evidence of CNS inflammation (CSF abnormalities: elevated protein, pleocytosis, oligoclonal bands) AND/OR MRI abnormalities consistent with neurosarcoidosis AND/OR positive brain/spine biopsy - [ ] Evidence of systemic sarcoidosis confirmed by tissue biopsy (lung, lymph node, skin, etc.) - [ ] Other causes excluded

Possible Neurosarcoidosis: - [ ] Clinical and/or MRI features suggestive of neurosarcoidosis - [ ] No tissue confirmation of sarcoidosis (systemic or nervous system) - [ ] Other causes excluded to the extent possible

Updated Stern/Sarcoidosis Consortium Criteria (2018)

  • Type 1 (Definite): Nervous system pathology consistent with neurosarcoidosis + exclusion of other causes
  • Type 2 (Probable): Systemic biopsy-proven sarcoidosis + typical neurological syndrome + exclusion of other causes
  • Type 3 (Possible): Typical neurological syndrome + no tissue confirmation + exclusion of other causes

Common Presentations of Neurosarcoidosis

Presentation Frequency Key Features
Cranial neuropathy 50-70% CN VII (facial palsy) most common; CN II (optic neuropathy) second; may be bilateral; any CN can be involved
Aseptic meningitis 10-25% Headache, meningismus; CSF lymphocytic pleocytosis; may be chronic/relapsing
Hypothalamic-pituitary 5-15% Diabetes insipidus; hyperprolactinemia; central hypothyroidism; hypogonadism; SIADH
Myelopathy 5-10% Subacute; thoracic predominance; dorsal subpial enhancement; may mimic MS or NMOSD
Hydrocephalus 5-10% Communicating (meningeal) or obstructive; may require VP shunt
Mass lesion (granuloma) 5-10% Mimics tumor; dural-based or parenchymal; may cause seizures, focal deficits
Peripheral neuropathy 15-40% Small fiber neuropathy (most common); mononeuritis multiplex; polyradiculopathy
Seizures 5-10% From cortical/meningeal involvement; may be presenting feature
Cognitive/psychiatric 5-20% Memory impairment; confusion; depression; personality changes

Red Flags Suggesting Neurosarcoidosis

  • Bilateral facial nerve palsy (especially in young African American patient)
  • Cranial neuropathy + bilateral hilar lymphadenopathy on chest imaging
  • Chronic meningitis with lymphocytic pleocytosis + elevated CSF ACE
  • Diabetes insipidus + hypothalamic/pituitary stalk enhancement on MRI
  • Leptomeningeal enhancement on MRI (especially basilar) + systemic sarcoidosis
  • Optic neuropathy + hilar adenopathy + elevated serum ACE
  • Myelopathy with dorsal subpial enhancement ("trident sign") on spine MRI
  • Small fiber neuropathy with multisystem granulomatous disease
  • Erythema nodosum or lupus pernio + new neurological symptoms

Scadding Staging (Chest Imaging)

Stage Findings Frequency in Sarcoidosis
0 Normal chest imaging 5-10%
I Bilateral hilar lymphadenopathy (BHL) only ~50%
II BHL + pulmonary infiltrates ~25%
III Pulmonary infiltrates without BHL ~15%
IV Pulmonary fibrosis ~5%

CHANGE LOG

v1.1 (January 30, 2026) - Checker/Rebuilder pipeline: validated against 6 quality domains; applied all approved revisions - R6: Reordered ALL lab tables (1A, 1B, 1C) and imaging tables (2A, 2B, 2C) and LP table to place venue columns (ED/HOSP/OPD/ICU) as last 4 columns per style guide CSS requirements - R1: Standardized structured dosing format across ALL treatment sections (3A, 3B, 3C, 3D) to use [dose] :: [route] :: [frequency] :: [full_instructions] with exactly 4 fields - R2: Cleaned up Route column in all treatment tables to show single primary route instead of multi-route (e.g., "IV" instead of "IV/SC/IN") - R3: Split testosterone replacement into two separate rows (testosterone cypionate IM and testosterone gel topical) for proper order sentence generation - R5/R8: Added ICU column to Section 4B (Patient Instructions) and Section 4C (Lifestyle & Prevention) for 4-column venue consistency - M1-M4: Fixed structured dosing format across all treatment rows -- each now has standard_dose, route, frequency, and full_instructions fields - Updated version to 1.1; added REVISED date - No clinical content changes; all medication dosing and clinical recommendations unchanged

v1.0 (January 30, 2026) - Initial creation - Section 1: 22 core labs (1A), 22 extended labs (1B), 9 rare/specialized tests (1C) - Section 2: 6 essential imaging/studies (2A), 10 extended (2B), 9 rare/specialized (2C), 18 LP/CSF studies - Section 3: 4 subsections: - 3A: 8 acute/emergent treatments (IV methylprednisolone, dexamethasone, GI prophylaxis, insulin, lorazepam, desmopressin, mannitol, hypertonic saline) - 3B: 12 symptomatic treatments (neuropathic pain, seizures, hormonal replacement, bone protection, acetazolamide, artificial tears) - 3C: 6 second-line/steroid-sparing agents (prednisone taper, methotrexate, mycophenolate, azathioprine, hydroxychloroquine, leflunomide) - 3D: 4 disease-modifying/biologic therapies with Pre-Treatment Requirements (infliximab, adalimumab, rituximab, cyclophosphamide) - Section 4: 18 referrals (4A), 14 patient instructions (4B), 12 lifestyle/prevention items (4C) - Section 5: 15 differential diagnoses with distinguishing features - Section 6: 10 acute monitoring parameters (6A), 16 outpatient/long-term monitoring parameters (6B) - Section 7: 7 disposition criteria - Section 8: 25 evidence references - Clinical Decision Support Notes: Zajicek criteria checklist, Stern 2018 updated criteria, common presentations table, red flags checklist, Scadding staging