Saadi Altaf, Rajashekara Shruthi
Radiol Case Rep. 2015 Dec 7;7(4):739. doi: 10.2484/rcr.v7i4.739. eCollection 2012.
Neurosarcoidosis is a rare diagnosis, and it is also unusual for a patient with sarcoidosis to present solely with neurologic disease. However, CNS involvement can be the first manifestation of disease in 50% of patients. Thus, it is an important diagnostic consideration in patients presenting with ambiguous nervous-system lesions, particularly in the population most often affected by sarcoidosis: young African-Americans. We report a case of a 32-year-old African-American male with spinal sarcoidosis presenting as bilateral upper-extremity and upper-trunk parasthesias secondary to an intramedullary spinal lesion.
神经结节病是一种罕见的诊断，结节病患者仅表现为神经系统疾病也不常见。然而，中枢神经系统受累可能是50%患者疾病的首发表现。因此，对于出现不明原因神经系统病变的患者，尤其是在结节病最常累及的人群——年轻非裔美国人中，这是一个重要的诊断考虑因素。我们报告一例32岁非裔美国男性脊髓结节病病例，表现为双侧上肢和上躯干感觉异常，继发于脊髓髓内病变。
