Correct!
5. Prednisone

Most patients with asymptomatic sarcoidosis limited to the lymph nodes and lung will recover without therapy. However, some will not and most experts advocate treating extrathoracic sarcoidosis. In this case of neurosarcoidosis with a seizure treatment is indicated. Agents such as azathioprine and mycophenolate are used as steroid sparing agents but do not cross the blood brain barrier. Nevertheless, these agents have been used to treat neurosarcoidosis.  Infliximab is a monoclonal antibody against tumor necrosis factor alpha (TNF-α) has also been used to treat neurosarcoidosis.

Our patient was treated with prednisone and has done well without recurrence of  seizures.

References

  1. AlEissa EI. First adult seizure. Mescape. May 25, 2015. Available at: http://emedicine.medscape.com/article/1186214-overview (accessed 3/30/16).
  2. Agnihotri SP, Singhal T, Stern BJ, Cho TA. Neurosarcoidosis. Semin Neurol. 2014 Sep;34(4):386-94. [CrossRef] [PubMed]

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