Intramedullary sarcoidosis presenting as incomplete paraplegia: Case report and literature review

Loida Ayala, Douglas B. Barber, Maria R. Lomba, Antoinne C. Able

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Sarcoidosis is a chronic, multisystem noncaseating granulomatous disease of unknown etiology. Sarcoidosis typically presents clinically in individuals between the ages of 20 and 40 years. Although Sarcoidosis most commonly affects the respiratory system, nearly any organ system can be involved. Spinal cord involvement by Sarcoidosis is a rare event, occurring in less than 1% of patients with systemic disease. The case presented is that of a 29-year-old black male with benign past medical history who presented with a 6-week history of progressive incomplete paraplegia and bowel dysfunction. Magnetic resonance imaging revealed an intramedullary mass at the T-4-T-5 levels. The patient underwent thoracic laminectomy and debulking of the mass. The pathology was consistent with granulomatous disease. Postoperatively, the patient was placed on prednisone. He subsequently received comprehensive inpatient and outpatient rehabilitation and at present is bowel and bladder continent and ambulating at community levels with a rolling walker. The diagnosis of sarcoidosis; potential treatment options, including debulking and long-term steroid use; and prognosis will be discussed.

Original languageEnglish (US)
Pages (from-to)96-99
Number of pages4
JournalJournal of Spinal Cord Medicine
Volume23
Issue number2
DOIs
StatePublished - Jan 1 2000

Keywords

  • Neurosarcoidosis
  • Sarcoidosis
  • Spinal cord injury

ASJC Scopus subject areas

  • Clinical Neurology

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