06.02.2022 | Letter to the Editor
The need for a broad differential: intramedullary neurosarcoidosis case report
verfasst von:
Diego D. Luy, Daniel Tonetti, Peter C. Gerszten
Erschienen in:
Neurological Sciences
|
Ausgabe 4/2022
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Excerpt
Sarcoidosis, an idiopathic inflammatory disorder, involves the nervous system (neurosarcoidosis) in 5–15% of cases [
1]. Neurosarcoidosis commonly impacts the hypothalamus, pituitary gland, and cranial nerves. Intramedullary spinal neurosarcoidosis is exceptionally rare, less than 1% of cases [
2]. We report a patient with subacute neck pain, intermittent leg paresthesias, and difficult micturition with intramedullary contrast-enhancing lesions and syringomyelia who was diagnosed and treated successfully with immunosuppressants resulting in complete symptomatic and radiographic resolution, highlighting the responsibility of the neurosurgeon to maintain broad differential in management of enhancing spinal cord lesions. …