Neurosarcoidosis mimicking acute cervical disc prolapse

Br J Neurosurg. 2011 Dec;25(6):759-60. doi: 10.3109/02688697.2010.544793. Epub 2011 Feb 23.

Abstract

We describe the case of a 29-year-old farmer who developed upper limb radiculopathy followed by myelopathy in his lower limbs. MRI findings suggested cervical disc prolapse with cord changes. Despite a successful anterior cervical decompression and fusion his symptoms rapidly returned. Further investigations ultimately diagnosed underlying neurosarcoidosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Central Nervous System Diseases / diagnosis*
  • Central Nervous System Diseases / drug therapy
  • Central Nervous System Diseases / pathology
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery*
  • Decompression, Surgical
  • Dexamethasone / therapeutic use
  • Diagnosis, Differential
  • Diskectomy
  • Edema
  • Humans
  • Intervertebral Disc Displacement / diagnosis*
  • Intervertebral Disc Displacement / pathology
  • Intervertebral Disc Displacement / surgery
  • Lymphatic Diseases / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Radiculopathy / diagnosis
  • Radiculopathy / etiology
  • Radiculopathy / surgery
  • Radiography
  • Recurrence
  • Sarcoidosis / diagnosis*
  • Sarcoidosis / drug therapy
  • Sarcoidosis / pathology
  • Spinal Cord Compression / diagnosis*
  • Spinal Cord Compression / surgery
  • Spinal Fusion
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Dexamethasone

Supplementary concepts

  • Neurosarcoidosis