title: Intradural-extramedullary isolated compressive sarcoid lesion.
abstract: BACKGROUND
  Sarcoid involvement of the central nervous system is a rare occurrence, with involvement in approximately 5-10% of all cases. Isolated spinal involvement is an even rarer encounter, only 0.3-1% of all cases. These lesions can form compressive nodules leading to myelopathy. In the presented case of cervical sarcoid, the patient required a decompressive procedure to address cord compression.
  
  
  METHODS
  This is the case of a 39-year-old male presenting with cervical myelopathy caused by a compressive sarcoid nodule who underwent a successful posterior decompressive procedure. The pathology demonstrated a non-caseating granuloma, consistent with sarcoid. Postoperatively, the patient's myelopathic symptoms improved.
  
  
  CONCLUSIONS
  Sarcoid is rarely associated with an isolated compressive cervical lesion. Although sarcoid management typically involves immune suppression, in cases of active cord compression surgical intervention is warranted.
authors.affiliation: Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
authors.forename: Kyle A
authors.initials: KA
authors.lastname: Smith
authors.affiliation: Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
authors.forename: Samuel K
authors.initials: SK
authors.lastname: Asante
authors.affiliation: Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
authors.forename: John
authors.initials: J
authors.lastname: Clough
keywords: Cervical mass; cervical myelopathy; neurosarcoid; sarcoid; spinal sarcoid