Nishiura I, Tochio H, Koyama T
Department of Neurosurgery, Ohtsu Municipal Hospital, Shiga-ken, Japan.
Neurochirurgia (Stuttg). 1992 Sep;35(5):163-6. doi: 10.1055/s-2008-1052271.
Spinal cord involvement by sarcoid is quite rare. Only fourteen cases of histologically proven sarcoid without meningeal infiltration have been reported. We present the first CT scan description and the second description of the findings on MR imaging of intramedullary sarcoidosis. We also report successful surgical intervention in this case. In a review of surgical reports, we could find only 2 cases of improvement in symptoms after surgical intervention. Additionally, we stress the importance of early diagnosis using the various neuroradiological methods described. We feel that if surgery is performed at an early stage, it may be possible to obtain successful resection of the mass and a good clinical outcome.
结节病累及脊髓相当罕见。仅报告了14例经组织学证实且无脑膜浸润的结节病病例。我们首次描述了CT扫描结果,并第二次描述了髓内结节病的磁共振成像表现。我们还报告了该病例成功的手术干预情况。在回顾手术报告时,我们仅发现2例手术干预后症状改善的病例。此外,我们强调使用所述各种神经放射学方法进行早期诊断的重要性。我们认为,如果在早期进行手术,有可能成功切除肿块并获得良好的临床结果。