Multiple cranial nerve palsies in sarcoidosis
ICD-10 D86.82 is a billable code used to indicate a diagnosis of multiple cranial nerve palsies in sarcoidosis.
Multiple cranial nerve palsies in sarcoidosis is a neurological manifestation of sarcoidosis, a systemic granulomatous disease characterized by the formation of non-caseating granulomas in various organs. In this condition, inflammation can affect multiple cranial nerves, leading to deficits in motor and sensory functions. Commonly affected cranial nerves include the facial nerve (VII), which may result in facial weakness or asymmetry, and the optic nerve (II), potentially causing visual disturbances. Patients may present with symptoms such as diplopia, dysphagia, or altered sensation in the face. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and sometimes biopsy to confirm the presence of granulomas. The management of cranial nerve palsies in sarcoidosis often includes corticosteroids and other immunosuppressive therapies to reduce inflammation and prevent further neurological damage. Understanding the interplay between sarcoidosis and cranial nerve involvement is crucial for effective treatment and management of symptoms.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with new-onset cranial nerve deficits, particularly in the context of known sarcoidosis.
Neurologists should ensure that all cranial nerve assessments are documented to support the diagnosis.
Pulmonary function tests, imaging studies, and biopsy results confirming sarcoidosis.
Patients with respiratory symptoms and concurrent neurological findings.
Pulmonologists should document the systemic nature of sarcoidosis and its neurological manifestations.
Used to assess nerve function in patients with suspected cranial nerve palsies.
Document the rationale for EMG and findings related to cranial nerve function.
Neurologists should ensure that EMG findings correlate with clinical symptoms.
Common symptoms include facial weakness, visual disturbances, difficulty swallowing, and altered sensation in the face, depending on which cranial nerves are affected.
Diagnosis involves clinical evaluation, imaging studies, and sometimes biopsy to confirm the presence of granulomas associated with sarcoidosis.
