Neurological involvement in sarcoidosis occurs in 5-10% of cases and may adopt a great variety of forms, included space-occupying cerebral masses. The presence of these masses as single G manifestation of the disease, with no evidence of systemic involvement, is uncommon. In a review of the literature we found 15 reported cases and we report here the case of a 74 year-old woman with a parietooccipital mass histologically diagnosed with sarcoidosis, with no evidence of systemic involvement. In most cases masses are supratentorial, evidenced by neuroradiological procedures and diagnosed by means of pathological investigation. Corticosteroids are the therapy of choice because of the favorable outcome of cases so treated.