Cervical myelopathy from spinal sarcoidosis as the unexpected initial presentation for systemic sarcoidosis.

Abstract:

:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averting the sequelae of undiagnosed or misdiagnosed neurosarcoidosis, which can be devastating and life-threatening. Diagnosis is challenging due to significant similarities in clinical and roentgenographic findings of spinal sarcoidosis with infection, inflammation, and malignancy. Our case demonstrates that diagnosis of spinal sarcoidosis is especially elusive when it is the initial manifestation of sarcoidosis.

journal_name

South Med J

journal_title

Southern medical journal

authors

Nguyen H,Le C,Nguyen H

doi

10.1097/SMJ.0b013e3181e90745

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

940-2

issue

9

eissn

0038-4348

issn

1541-8243

journal_volume

103

pub_type

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