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Isolated cervical intramedullary sarcoidosis--a histological surprise
C S Mathieson1, D Mowle, J W Ironside
1Department of Neurosurgery and Neurology, Ninewells Hospital, Dundee, UK. calan@doctors.org.uk
Abstract:
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.