Isolated cervical intramedullary sarcoidosis--a histological surprise.
We present a case of cervical intramedullary sarcoidosis. A 56 year old woman presented with progressive paraesthesia affecting the lower limbs. MRI revealed an intramedullar lesion from C4-C7. A laminectomy and subtotal resection was carried out for this presumed intramedullary tumour. Pathology revealed this to be a granulomatous lesion with features indicative of sarcoidosis. Postoperatively, there was no change in her neurological function and her symptoms improved with steroid therapy.
Mathieson
C S
CS
Department of Neurosurgery and Neurology, Ninewells Hospital, Dundee, UK. calan@doctors.org.uk
Mowle
D
D
Ironside
J W
JW
O'Riordan
R
R
D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology; D012507:Sarcoidosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013118:Spinal Cord Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery