Case reports in orthopedics · 2019
Intradural Extramedullary Spinal Sarcoidosis Mimicking Meningioma.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ishiwata Sho, Iizuka Yoichi, Mieda Tokue, Hirato Junko, Koshi Hiromi, Kakuta Yohei, Honda Akira, Sonoda Hiroyuki, Tajika Tsuyoshi, Chikuda Hirotaka
Аннотация
BACKGROUND: Spinal sarcoidosis is a rare subgroup of neurosarcoidosis. Although most sarcoid lesions develop in the intramedullary compartment, intradural extramedullary (IDEM) spinal sarcoidosis is an extremely rare entity.
CASE PRESENTATION: We herein report a case of IDEM spinal sarcoidosis mimicking a meningioma. A 32-year-old man presented to the hospital with clumsy hands and was unable to walk without assistance. Magnetic resonance imaging (MRI) of the cervical spine revealed a dural tail sign that is common in meningiomas. The patient underwent gross total resection. The pathological findings consisted with a sarcoid leision of the spinal cord. The patient's myelopathy recovered after surgery.
CONCLUSIONS: Physicians should be alert for the possibility of IDEM sarcoidosis mimicking a meningioma in the differential diagnosis of IDEM spinal cord tumors.
CASE PRESENTATION: We herein report a case of IDEM spinal sarcoidosis mimicking a meningioma. A 32-year-old man presented to the hospital with clumsy hands and was unable to walk without assistance. Magnetic resonance imaging (MRI) of the cervical spine revealed a dural tail sign that is common in meningiomas. The patient underwent gross total resection. The pathological findings consisted with a sarcoid leision of the spinal cord. The patient's myelopathy recovered after surgery.
CONCLUSIONS: Physicians should be alert for the possibility of IDEM sarcoidosis mimicking a meningioma in the differential diagnosis of IDEM spinal cord tumors.