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一例以感觉共济失调为表现的神经结节病。

A case of sensory ataxia as the presenting manifestation of neurosarcoidosis.

机构信息

Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.

出版信息

Muscle Nerve. 2011 Jun;43(6):900-5. doi: 10.1002/mus.22045.

Abstract

Sarcoidosis rarely selectively affects the cauda equina with characteristic motor and sensory impairments.Using imaging, we report a case of cauda equina polyradiculopathy presenting with progressive sensory ataxia without clinical or electrophysiological evidence of motor involvement. Neurosarcoidosis was diagnosed pathologically by proximal dorsal root biopsy after systemic investigations for inflammatory, infectious, and neoplastic etiologies were found to be negative. There was clinical and radiographic improvement with corticosteroids. In addition, we review previously reported cases of cauda equina sarcoidosis.

摘要

结节病很少选择性地影响马尾,伴有特征性的运动和感觉障碍。通过影像学检查,我们报告了一例表现为进行性感觉性共济失调而无运动受累的临床或电生理证据的马尾多神经根病变。在系统性检查排除炎症、感染和肿瘤病因后,通过近端背根活检进行病理诊断为神经结节病。皮质类固醇治疗后症状和影像学均有改善。此外,我们还回顾了以前报道的马尾结节病病例。

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