Solitary intramedullary neurosarcoidosis: role of MRI in early detection.

Autor: Hayat, G R, Walton, T P, Smith, K R Jr, Martin, D S, Manepalli, A N
Zdroj: Journal of Neuroimaging; Jan2001, Vol. 11 Issue 1, p66-70, 5p
Abstrakt: Background: Intramedullary neurosarcoidosis may be the first manifestation of the disease and may mimic a tumor clinically and radiographically. Two patients who presented with cervical intramedullary lesions on magnetic resonance imaging (MRI) scans were found to have neurosarcoidosis.Clinical Presentation: Two patients with negative past medical history presented with progressive myelopathic features, and intramedullary cervical lesions were detected on MRI scan; the diagnosis was made on biopsy of the lesions. Early therapeutic intervention led to a favorable outcome.Conclusion: Intra-medullary neurosarcoidosis, especially in the cervical cord, can be the initial presentation of the disease, mimicking a tumor. MRI scan, biopsy, and, in fewer cases, angiotensin-converting enzyme levels can help with the diagnosis and may lead to a favorable outcome. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index