Intradural-extramedullary isolated compressive sarcoid lesion

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Issue Date
2016-11
Author
Smith, Kyle A.
Asante, Samuel K.
Clough, John
Publisher
MedKnow Publications
Type
Article
Article Version
Scholarly/refereed, publisher version
Rights
© 2016 Surgical Neurology International. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
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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.
URI
http://hdl.handle.net/1808/24940
DOI
https://doi.org/10.4103/2152-7806.194520
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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

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© 2016 Surgical Neurology International. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Except where otherwise noted, this item's license is described as: © 2016 Surgical Neurology International. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.