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Intradural-extramedullary isolated compressive sarcoid lesion
Smith, Kyle A. Asante, Samuel K. Clough, John
Smith, Kyle A.
Asante, Samuel K.
Clough, John
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Abstract
Background:
Sarcoid involvement of the central nervous system is a rare occurrence, with involvement in approximately 5–10% of all cases. Isolated spinal involvement is an even rarer encounter, only 0.3–1% of all cases. These lesions can form compressive nodules leading to myelopathy. In the presented case of cervical sarcoid, the patient required a decompressive procedure to address cord compression.
Case Description:
This is the case of a 39-year-old male presenting with cervical myelopathy caused by a compressive sarcoid nodule who underwent a successful posterior decompressive procedure. The pathology demonstrated a non-caseating granuloma, consistent with sarcoid. Postoperatively, the patient's myelopathic symptoms improved.
Conclusions:
Sarcoid is rarely associated with an isolated compressive cervical lesion. Although sarcoid management typically involves immune suppression, in cases of active cord compression surgical intervention is warranted.
Description
A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
Date
2016-11
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MedKnow Publications
Research Projects
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Keywords
Cervical mass, Cervical myelopathy, Neurosarcoid, Sarcoid, Spinal sarcoid
Citation
Smith, K. A., Asante, S. K., & Clough, J. (2016). Intradural-extramedullary isolated compressive sarcoid lesion. Surgical Neurology International, 7(Suppl 38), S917–S918. http://doi.org/10.4103/2152-7806.194520