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