Sarcoidosis presenting as an isolated intramedullary tumor.

Details

Serval ID
serval:BIB_EF342E3F45B4
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Sarcoidosis presenting as an isolated intramedullary tumor.
Journal
Neurosurgery
Author(s)
Levivier M., Brotchi J., Balériaux D., Pirotte B., Flament-Durand J.
ISSN
0148-396X (Print)
ISSN-L
0148-396X
Publication state
Published
Issued date
1991
Peer-reviewed
Oui
Volume
29
Number
2
Pages
271-276
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: ppublish
Abstract
We report a case of isolated intramedullary sarcoidosis. The patient developed progressive signs that indicated a spinal tumor, which were investigated with contrast-enhanced magnetic resonance imaging scans. Magnetic resonance imaging clearly revealed an intramedullary lesion, but the diagnosis of sarcoidosis was made on the pathological analysis of the surgical specimen. Magnetic resonance imaging with contrast enhancement is reported in a histologically proven case of intramedullary sarcoidosis. Only 12 other cases of isolated intramedullary sarcoidosis have been reported. We review and discuss these cases according to their clinical presentation, the segmental location of the granulomas in the spinal cord, preoperative and operative diagnoses, and signs for systemic sarcoidosis. In none of the cases was the diagnosis of intramedullary sarcoidosis made before surgery. We think that surgical therapy for intramedullary lesions is the best way to diagnose rare instances of benign lesions like sarcoidosis and to treat them in an appropriate manner.
Keywords
Contrast Media, Diagnosis, Differential, Female, Heterocyclic Compounds/diagnostic use, Humans, Image Enhancement/methods, Magnetic Resonance Imaging, Middle Aged, Organometallic Compounds/diagnostic use, Sarcoidosis/diagnosis, Sarcoidosis/pathology, Spinal Cord Diseases/diagnosis, Spinal Cord Diseases/pathology, Spinal Cord Neoplasms/diagnosis
Pubmed
Web of science
Create date
20/01/2008 17:35
Last modification date
20/08/2019 16:16
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