SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Clin Rheumatol. 2011 Dec;30(12):1631-9. doi: 10.1007/s10067-011-1834-y. Epub 2011 Aug 26.
We report two cases of sarcoidosis which were initially misdiagnosed due to profound hypoglycorrhachia. Sarcoidosis is a systemic inflammatory disorder which can mimick other entities and has a vast array of presentations including altered mentation and signs of increased intracranial pressure. Though hypoglycorrhachia has been described previously, these two cases are unique in not only the level of hypoglycorrhachia but also the diagnostic challenge presented. We propose that sarcoidosis should be in the differential of all cases of CNS diseases with any level of hypoglycorrhachia.
我们报告了两例因严重低颅压而最初误诊的类肉瘤病。类肉瘤病是一种全身性炎症性疾病，可模仿其他实体，并具有广泛的表现，包括精神状态改变和颅内压增高的迹象。虽然低颅压已被描述过，但这两例病例不仅在低颅压的程度上而且在诊断上都具有独特性。我们建议，所有有任何程度低颅压的中枢神经系统疾病患者都应考虑类肉瘤病的鉴别诊断。
