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Intramedullary spinal sarcoidosis: clinical improvement reflected in T-lymphocyte subpopulation ratios
J S Hawley1, J P Ney, R G Riechers
1Department of Neurology, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Spinal Cord
|July 21, 2005
Abstract
Study Design:
Case report.
Objectives:
A case report of spinal sarcoidosis improving clinically and radiographically with treatment which correlated with improvement in cerebrospinal fluid T-lymphocyte subpopulation ratios.
Setting:
Walter Reed Army Medical Center.
Case Report:
A 46-year-old man presented with an enhancing spinal cord lesion. Lymph node biopsy confirmed sarcoidosis, and cerebrospinal fluid (CSF) analysis showed elevation in the ratio of two T-lymphocyte subpopulations. Treatment with steroids resulted in clinical resolution and immunocytologic improvement in the CSF.