Neurosarcoidosis Treatment in India

Angel Malhotra, a 28-year-old freelance graphic...

Angel Malhotra, a 28-year-old freelance graphic designer, had always been active and healthy. Over six months, she developed persistent, debilitating headaches and noticed her vision becoming blurry, especially in her right eye. Simple tasks like reading screens became exhausting. Her primary care physician found nothing conclusive, but when Angel began experiencing facial weakness, a slight droop on one side, she was referred to a neurologist. An MRI revealed inflammation and granulomas along her optic nerve and at the base of her brain. The neurologist, Dr. Chen, explained that this pattern strongly suggested neurosarcoidosis, a rare inflammatory condition where the immune system attacks the nervous system. To confirm it and rule out infections or tumors, Dr. Chen recommended a brain biopsy. The procedure was daunting; Angel was terrified of brain surgery. The biopsy itself, performed under general anesthesia, went smoothly. The recovery in the hospital was uncomfortable, with headache and nausea, but manageable. The pathology confirmed neurosarcoidosis. Emotionally, Angel felt a whirlwind of fear and uncertainty before the procedure, afraid of the diagnosis, the surgery, and what it meant for her future and career. Afterward, while the diagnosis was serious, having a definitive answer was a relief. She started on a tailored regimen of corticosteroids and immunosuppressants. Over the following year, with treatment, her vision improved significantly and the facial weakness resolved. She learned to manage fatigue and adapted her work schedule. The emotional journey shifted from terror and confusion to cautious optimism and resilience, embracing a new normal with a chronic but treatable condition.