Fukuhara Kousuke, Fukuhara Aika, Tsugawa Jun, Oma Shinji, Tsuboi Yoshio
Department of Neurology, Fukuoka University Faculty of Medicine.
Brain Nerve. 2013 Aug;65(8):989-92.
As a subtype of the clinical presentations associated with sarcoidosis, the combination of uveitis, parotid gland swelling, and facial nerve palsy is known as Heerfordt's syndrome. This syndrome is an extremely rare disorder that has been estimated to affect only 4.1-5.6% of patients with sarcoidosis. We present 2 cases of Heerfordt's syndrome associated with radiculopathy in the trunk. The 2 patients experienced unilateral or bilateral radiculopathy in the trunk and in the trigeminal nerve area associated with Heerfordt's syndrome. Radiculopathy is also a rare manifestation in patients with neurosarcoidosis. A literature review revealed that only 51 cases of radiculopathy associated with sarcoidosis have been documented. A diagnosis of Heerfordt's syndrome was observed in 7 out of these 51 cases. Together with our 2 cases, 9 out of 53 patients with radiculopathy associated with sarcoidosis have been diagnosed as having Heerfordt's syndrome (estimated frequency, 16.9%). In conclusion, radiculopathy is a common neurological manifestation in patients with Heerfordt's syndrome. On the basis of our experience, we suggest that physicians consider the possibility of Heerfordt's syndrome in cases of radiculopathy with unknown cause.
作为结节病相关临床表现的一种亚型,葡萄膜炎、腮腺肿大和面神经麻痹的组合被称为黑尔福特综合征。该综合征是一种极为罕见的疾病,据估计仅影响4.1%-5.6%的结节病患者。我们报告2例与躯干神经根病相关的黑尔福特综合征病例。这2例患者在躯干和与黑尔福特综合征相关的三叉神经区域出现单侧或双侧神经根病。神经根病在神经结节病患者中也是一种罕见表现。文献综述显示,仅有51例与结节病相关的神经根病病例被记录。在这51例病例中有7例被诊断为黑尔福特综合征。连同我们的2例病例,53例与结节病相关的神经根病患者中有9例被诊断为患有黑尔福特综合征(估计发生率为16.9%)。总之,神经根病是黑尔福特综合征患者常见的神经表现。根据我们的经验,我们建议医生在病因不明的神经根病病例中考虑黑尔福特综合征的可能性。